Individual
JENNIFER ANN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8645 STEVENS AVE S, BLOOMINGTON, MN 55420-2947
(320) 493-5112
Mailing address
8645 STEVENS AVE S, BLOOMINGTON, MN 55420-2947
(320) 493-5112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2219
MN
Other
Enumeration date
02/05/2015
Last updated
02/24/2016
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