JASON DONALD ELLENBECKER

EAGAN, MN
NPI1518675461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant
(Licence: MN  11811)
Enumeration Date2022-11-09
Last Update Date2022-11-09
Business Address
JASON DONALD ELLENBECKER OTC
2700 VIKINGS CIR
EAGAN, MN 55121-1002
Phone number: 952-456-7600
Mailing Address
JASON DONALD ELLENBECKER OTC
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 55422-4841
Phone number: 952-512-5600
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