| Doctor Name: | JESSE DANIEL HOFFMEISTER |
| NPI Number: | 1083050660 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., SLP |
| License Number: | 9094 |
| Business Practice Address: | 420 Deleware St. Se Box 3, Department Of Otolaryngology Minneapolis, MN - 55455 |
| Business Phone Number: | 6126265900 |
| Business Fax Number: | |
| Mailing Address: | N2250 W Rollwood Rd, ANTIGO |
| State: | WI |
| Postal Code: | 544099019 |
| Phone Number: | 7152160714 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2013 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 9094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |