Individual
DR. JASON PAUL DAUFFENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
54393
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
54393
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
SD
Other
Enumeration date
05/03/2010
Last updated
09/17/2020
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