Individual
MRS. JESSICA LEIGH PUCHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
(763) 236-3026
Mailing address
5700 BOTTINEAU BLVD STE 100, CRYSTAL, MN 55429-3184
(763) 504-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2017
Last updated
10/16/2023
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