person
Ms. Jeanine Marie Edstrom, PAC
Surgical Physician Assistant in Eagan, Minnesota
NPI 1447560693

Jeanine Marie Edstrom is a Surgical Physician Assistant based in Minneapolis, MN and is specialized in Surgical. Jeanine Marie Edstrom practices in Eagan, MN and has the professional credentials of PAC. The NPI Number for Jeanine Marie Edstrom is 1447560693 and holds a License No. 1504 (Minnesota).

The current practice location address for Jeanine Marie Edstrom is 1185 Town Centre Dr Ste 200, Eagan, MN and can be reached out via phone at 612-871-1145 and via fax at 612-870-5491. You can also correspond with Jeanine Marie Edstrom through the mailing address at PO BOX 14909, MINNEAPOLIS, MN - 55414-0909 (mailing address contact number: 612-871-1145).

Location: 1185 Town Centre Dr Ste 200, Eagan, MN, 55414-0909
person
Provider Profile Details
NPI Number
1447560693
Provider Name
Jeanine Marie Edstrom
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
1185 Town Centre Dr Ste 200, Eagan, MN, 55414-0909
Phone Number
612-871-1145
Fax Number
612-870-5491
Provider Enumeration Date
10/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1185 Town Centre Dr Ste 200
City
State
Zip
55123-1343
Phone Number
612-871-1145
Fax Number
612-870-5491
person
Provider Business Mailing Address Details
Address
1185 Town Centre Dr Ste 200
City
State
Zip
55123-1343
Phone Number
612-871-1145
Fax Number
612-870-5491
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1504 (Minnesota)
Definition
Definition to come...
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