Individual
MR. JEFFREY RAY SENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 239-3719
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 239-3719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0296
ND
363AM0700X
Medical Physician Assistant
PAC0296
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866438200
—
MN
Enumeration date
07/24/2006
Last updated
04/16/2013
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