Individual
PARKER JAMES SIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1479
(612) 313-4389
Mailing address
10938 YALTA ST NE UNIT C, BLAINE, MN 55449-7414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2502988
MN
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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