JEFFREY OWEN KASBOHM

FRIDLEY, MN
NPI1447352547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  9692)
Enumeration Date2006-09-01
Last Update Date2007-07-09
Business Address
-- JEFFREY OWEN KASBOHM PA-C
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432-4946
Phone number: 763-572-5710
Mailing Address
-- JEFFREY OWEN KASBOHM PA-C
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432-4341
Phone number: 763-572-5710