person
Jillene Marie Bantau
Specialist in Fergus Falls, Minnesota
NPI 1225528664

Jillene Marie Bantau is a Specialist based in Moorhead, MN. Jillene Marie Bantau practices in Fergus Falls, MN. The NPI Number for Jillene Marie Bantau is 1225528664 and holds a License No. (Minnesota).

The current practice location address for Jillene Marie Bantau is 1806 E Fir Ave Ste 200, Fergus Falls, MN and can be reached out via phone at 218-998-2992. You can also correspond with Jillene Marie Bantau through the mailing address at 891 BELSLY BLVD, MOORHEAD, MN - 56560-5055 (mailing address contact number: ).

Location: 1806 E Fir Ave Ste 200, Fergus Falls, MN, 56560-5055
person
Provider Profile Details
NPI Number
1225528664
Provider Name
Jillene Marie Bantau
Credential
Provider Entity Type
Individual
Gender
Female
Address
1806 E Fir Ave Ste 200, Fergus Falls, MN, 56560-5055
Phone Number
218-998-2992
Fax Number
Provider Enumeration Date
05/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1806 E Fir Ave Ste 200
City
State
Zip
56537-3921
Phone Number
218-998-2992
Fax Number
person
Provider Business Mailing Address Details
Address
891 Belsly Blvd
City
State
Zip
56560-5055
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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