Individual
JACOB SCOTT ANKENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(507) 380-0548
Mailing address
3010 SANDY HOOK DR, ROSEVILLE, MN 55113-2127
(507) 380-0548
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME130994
FL
2086X0206X
Surgical Oncology Physician
Primary
65631
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2010
Last updated
07/11/2019
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