Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER JESUS VERDUZCO
Active Sole ProprietorTANNER JESUS VERDUZCO is a Physician Assistant healthcare provider located in MAPLE GROVE, Minnesota. NPI 1073276259 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MAPLE GROVE, MN
Registration Details
- NPI Number
- 1073276259
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2021 (4.8571293607446 yrs)
- Last Updated
- Dec 21, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
12000 ELM CREEK BLVD N STE 300MAPLE GROVE, MN, 553697075Browse MN providers · Browse ZIP 55369
- Phone
- 9528412345
- Fax
- 9528412346
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MAPLE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| JOLENE NELSON | — | 1578540613 |
| MS. GAY WYNNE LENTFER | PA | 1104891100 |
| THOMAS WILKS ELLIS III | P.A. C | 1881632891 |
| LAURA OLIVIA KRAMER | PA-C | 1679501373 |
| JODY ANN MIKKELSON | PA-C | 1669400156 |
| CATHERINE PANDISCIO | PA-C | 1871522599 |
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.