Search › Minnesota › 101YA0400X
Jacob Poppinga, LADC
NPI 1417556762 · on the registry since 2020 · sole proprietor
Practice
- Address
- 13045 Falcon Dr Ste 7404th
Baxter, MN 56425 - Phone
- (218) 821-4538
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 59
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-19
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