Individual
JODI MARIE DESSELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12960
MN
Other
Enumeration date
03/08/2019
Last updated
02/06/2025
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