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

JONATHON DAVID JAQUA, D.O.

Active Sole Proprietor

JONATHON DAVID JAQUA, D.O. is a Obstetrics & Gynecology healthcare provider located in EDINA, Minnesota. NPI 1396062923 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · EDINA, MN

Registration Details

NPI Number
1396062923
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2010 (16.318349975418 yrs)
Last Updated
Aug 22, 2014
License
57244 (MN)
Sole Proprietor
Yes

Practice Information

Address
3625 W. 65TH STREET
SUITE 100
EDINA, MN, 55435
Browse MN providers · Browse ZIP 55435
Phone
9529207001
Fax
6126260665
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in EDINA, MN

Name Credential NPI
SHEILA ROSENTHAL GOODMAN M.D. 1144224965
PATRICIA MARY PETTIT M.D. 1922002658
DR. SHERYL ANN LOUIE M.D. 1336145937
DR. LORA JEAN PRINC M.D. 1497741219
BRYAN D COLWELL M.D. 1609859073
KIRK ANTHONY SHIBLEY M.D. 1821071291
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.