JORI L EIDEM

ROCHESTER, MN
NPI1235101171
Former NameJORI L MYERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  9884)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WI  1967-023)
Enumeration Date2006-02-04
Last Update Date2013-11-13
Business Address
-- JORI L EIDEM PA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
Mailing Address
-- JORI L EIDEM PA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511