Doctor Name: | JESSICA ELLEN KUEHN-HAJDER |
NPI Number: | 1104833920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 48296 |
Business Practice Address: | 516 Delaware St Se First Floor Pwb, Clinic 1-d Minneapolis, MN - 554550356 |
Business Phone Number: | 6126251400 |
Business Fax Number: | |
Mailing Address: | 420 Delaware St Se, Mmc 292 MINNEAPOLIS |
State: | MN |
Postal Code: | 554550341 |
Phone Number: | 6122736004 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 48296 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |