Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JEANINE MARIE EDSTROM, PAC
ActiveMS. JEANINE MARIE EDSTROM, PAC is a Surgical Physician Assistant healthcare provider located in EAGAN, Minnesota. NPI 1447560693 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · EAGAN, MN
Registration Details
- NPI Number
- 1447560693
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2010 (15.774918209428 yrs)
- Last Updated
- Mar 20, 2013
- License
-
1504 (MN)
Practice Information
- Address
-
1185 TOWN CENTRE DR STE 200EAGAN, MN, 551231343Browse MN providers · Browse ZIP 55123
- Phone
- 6128711145
- Fax
- 6128705491
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| MATTHEW R WOLDEN | PA-C | 1457582793 |
| JESSICA MARIE KAINZ | PA-C | 1649553397 |
| KATHRYN L ROGGOW | PAC | 1447682679 |
| ANDREA HORSCH | PA-C | 1457831331 |
| MRS. ALEXI DEE LINDQUIST | PA-C PHYSICIAN ASSIS | 1083278436 |
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.