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Jordan Hagenbucher
Student in an Organized Health Care Education/Training Program in Duluth, Minnesota
NPI 1700356102

Jordan Hagenbucher is a Student in an Organized Health Care Education/Training Program based in Duluth, MN. Jordan Hagenbucher practices in Duluth, MN. The NPI Number for Jordan Hagenbucher is 1700356102 and holds a License No. (Minnesota).

The current practice location address for Jordan Hagenbucher is 1200 Kenwood Ave, Duluth, MN and can be reached out via phone at 715-297-7216.

Location: 1200 Kenwood Ave, Duluth, MN, 55803-4525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700356102
Provider Name
Jordan Hagenbucher
Credential
Provider Entity Type
Individual
Gender
Male
Address
1200 Kenwood Ave, Duluth, MN, 55803-4525
Phone Number
715-297-7216
Fax Number
Provider Enumeration Date
11/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 Kenwood Ave
City
Duluth
State
Minnesota
Zip
55811-4199
Phone Number
715-297-7216
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Kenwood Ave
City
Duluth
State
Minnesota
Zip
55811-4199
Phone Number
715-297-7216
Fax Number
person
Provider's Taxonomy Details 1
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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