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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOROTHY LEE JENICKE, STUDENT

Active

DOROTHY LEE JENICKE, STUDENT is a Student (Health Education/Training) healthcare provider located in BLOOMINGTON, Minnesota. NPI 1053088245 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · BLOOMINGTON, MN

Registration Details

NPI Number
1053088245
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2021 (4.9363820296348 yrs)
Last Updated
Nov 13, 2024

Practice Information

Address
8053 E BLOOMINGTON FWY
BLOOMINGTON, MN, 554204577
Browse MN providers · Browse ZIP 55420
Phone
6123332155
Primary Specialty
Student (Health Education/Training)
390200000X

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JOHN MCGRORY 1750962601
DR. QUIN STEVENS MD 1285374959
LAUREN VAN HOVE MD 1811638133
DR. LINDA CAMAJ DEDA MD 1922744606
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.