Individual
STEVEN D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2220 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1321
(612) 371-1600
(612) 371-1673
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(612) 371-1600
(612) 371-1673
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
58363
MN
Other
Enumeration date
05/18/2007
Last updated
02/06/2020
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