JENNIFER POETHKE IDICULLA

SAINT MICHAEL, MN
NPI1841661824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  1289)
Enumeration Date2015-10-15
Last Update Date2023-01-12
Business Address
JENNIFER POETHKE IDICULLA PA-C
4300 EDGEWOOD DR NE
SAINT MICHAEL, MN 55376-4588
Phone number: 763-744-4000
Mailing Address
JENNIFER POETHKE IDICULLA PA-C
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-9000
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