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Jennifer Michelle Williams, DO
Diagnostic Radiology Physician in Roseville, Minnesota
NPI 1194917302

Jennifer Michelle Williams is a Diagnostic Radiology Physician based in Roseville, MN and is specialized in Diagnostic Radiology. Jennifer Michelle Williams practices in Roseville, MN and has the professional credentials of DO. The NPI Number for Jennifer Michelle Williams is 1194917302 and holds a License No. 8810 (Minnesota).

The current practice location address for Jennifer Michelle Williams is 2355 Highway 36 W Ste 100, Roseville, MN and can be reached out via phone at 651-292-2000 and via fax at 952-837-9701.

Location: 2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194917302
Provider Name
Jennifer Michelle Williams
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2355 Highway 36 W Ste 100, Roseville, MN, 55113-3905
Phone Number
651-292-2000
Fax Number
952-837-9701
Provider Enumeration Date
08/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01214939 01 SD RR MEDICARE
7208750 05 SD
institution
Provider Business Practice Location Address Details
Address
2355 Highway 36 W Ste 100
City
Roseville
State
Minnesota
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
952-837-9701
person
Provider Business Mailing Address Details
Address
2355 Highway 36 W Ste 100
City
Roseville
State
Minnesota
Zip
55113-3905
Phone Number
651-292-2000
Fax Number
952-837-9701
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
52907 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
8810 (South Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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