Individual
DR. JESSICA TABATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7110
Mailing address
400 E 3RD ST, MCL2CRED, DULUTH, MN 55805-1951
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
928
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
TP187
MN
Other
Enumeration date
06/17/2012
Last updated
11/27/2018
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