Jennifer Kristin Ische D.O.

NPI 1669608352 - Family Medicine - 207Q00000X

NPI Details
NPI 1669608352
Gender Female
Enumeration Date 06/08/2009
Last Updated 12/06/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
424 W STATE HIGHWAY 5
WACONIA MN, 55387-1723, US
Phone (952) 442-4461
Fax (952) 442-1218
Business Location
424 W STATE HIGHWAY 5
WACONIA MN, 55387-1723, US
Phone (952) 442-4461
Fax (952) 442-1218
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 53032
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According to our database, Dr. Jennifer Kristin Ische D.O. NPI is 1669608352, taxonomy code is 207Q00000X and license number is 53032, license state is located at Minnesota. Jennifer Kristin Ische D.O. physically located at 424 W State Highway 5, Waconia MN, 55387-1723. NPI Number Jennifer Kristin Ische D.O. has the Individual type.

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1669608352 NPI number is provided on an as is basis without warranty of any kind. 1669608352 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Kristin Ische D.O. are for informational purposes only.