Individual
JENNIFER THUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 PORTLAND AVE STE C101, MINNEAPOLIS, MN 55415-3603
(612) 682-2008
Mailing address
740 PORTLAND AVE STE C101, MINNEAPOLIS, MN 55415-3603
(612) 682-2008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
02/11/2025
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