JEFFREY CHARLES OTIS

SAINT PAUL, MN
NPI1649720533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  12288)
Enumeration Date2016-10-04
Last Update Date2022-05-19
Business Address
JEFFREY CHARLES OTIS PA-C
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-4887
Mailing Address
JEFFREY CHARLES OTIS PA-C
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number:
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