Search › Minnesota › 207V00000X
Jacqueline Mahan, M.D
NPI 1821038928 · on the registry since 2006
Practice
- Address
- 1687 Woodlane Dr
Suite 101
Woodbury, MN 55125 - Phone
- (651) 209-6263
- Fax
- (651) 209-6264
- Organisation at this address
- Ilko Family Medicine Pa
Coscarelli Consulting, Llc
Comprehensive Healthcare For Women, Pa
Novacare Outpatient Rehabilitation East Inc
Professional Recovery Organization Network, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 2603 White Bear Ave N, Maplewood, MN
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-02
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