Search › Minnesota › 207V00000X
Jonathon Jaqua, D.O
NPI 1396062923 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3625 W. 65th Street
Suite 100
Edina, MN 55435 - Phone
- (952) 920-7001
- Fax
- (612) 626-0665
- Organisation at this address
- Premier Obgyn Of Minnesota Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-22
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