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Jonathon David Jaqua, DO
Obstetrics & Gynecology Physician in Edina, Minnesota
NPI 1396062923

Jonathon David Jaqua is a Obstetrics & Gynecology Physician based in Edina, MN. Jonathon David Jaqua practices in Edina, MN and has the professional credentials of DO. The NPI Number for Jonathon David Jaqua is 1396062923 and holds a License No. (Minnesota).

The current practice location address for Jonathon David Jaqua is 3625 W. 65Th Street, Edina, MN and can be reached out via phone at 952-920-7001 and via fax at 612-626-0665.

Location: 3625 W. 65Th Street, Edina, MN, 55435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396062923
Provider Name
Jonathon David Jaqua
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3625 W. 65Th Street, Edina, MN, 55435
Phone Number
952-920-7001
Fax Number
612-626-0665
Provider Enumeration Date
04/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3625 W. 65Th Street
City
Edina
State
Minnesota
Zip
55435
Phone Number
952-920-7001
Fax Number
612-626-0665
person
Provider Business Mailing Address Details
Address
3625 W. 65Th Street
City
Edina
State
Minnesota
Zip
55435
Phone Number
952-920-7001
Fax Number
612-626-0665
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
57244 (Minnesota)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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