TANNER JESUS VERDUZCO

MAPLE GROVE, MN
NPI1073276259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-10-14
Last Update Date2023-12-21
Business Address
TANNER JESUS VERDUZCO
12000 ELM CREEK BLVD N STE 300
MAPLE GROVE, MN 55369-7075
Phone number: 952-841-2345
Mailing Address
TANNER JESUS VERDUZCO
7235 OHMS LN
EDINA, MN 55439-2148
Phone number: 952-841-2345
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