JONATHON D JAQUA

PREMIER OBGYN OF MINNESOTA PA

Dr JONATHON D JAQUA is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 2010.

Contact

PREMIER OBGYN OF MINNESOTA PA

305 E NICOLLET BLVD
SUITE 393
BURNSVILLE
MN
553378328

Tel: 9524359505

JONATHON D JAQUA Information

Npi 1396062923
Pac Id 5395965594
Professional Enrollment Id I20141010001853
Last Name JAQUA
First Name JONATHON
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PREMIER OBGYN OF MINNESOTA PA
Group Practice Pac Id 1355396110
Number Of Group Practice Members 71
Line 1 Street Address 305 E NICOLLET BLVD
Line 2 Street Address SUITE 393
Marker Of Address Line 2 Suppression
City BURNSVILLE
State MN
Zip Code 553378328
Phone Number 9524359505
Hospital Affiliation Ccn 1 240001
Hospital Affiliation Lbn 1 NORTH MEMORIAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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