Individual
JENNY E ENSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
530 3RD ST NW, ELK RIVER, MN 55330-1445
(763) 587-4800
(763) 587-4845
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9824
MN
Other
Enumeration date
02/28/2006
Last updated
10/27/2021
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