Search › Minnesota › 103TC1900X

Jean Udesen

NPI 1417142332 · on the registry since 2007

Practice

Address
1485 81st Avenue North East
Spring Lake Park, MN 55432
Phone
(763) 780-3036
Fax
(763) 780-0784

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota