Individual
DR. JUDE JEROME SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1050 MINNESOTA AVE S, AITKIN, MN 56431-7412
(218) 927-3785
Mailing address
21466 ARCHIBALD RD, DEERWOOD, MN 56444-4100
(218) 821-0534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15091
MN
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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