Individual
JEREMY LEE MABIS-ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(727) 210-8236
Mailing address
4936 30TH AVE S, MINNEAPOLIS, MN 55417-1308
(612) 819-3874
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1864737
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2151
MN
Other
Enumeration date
11/21/2017
Last updated
05/17/2024
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