Jennifer M Metz in St Louis Park - Physician Assistant
Jennifer M Metz - NPI 1063499580
Jennifer M Metz is a Physician Assistant in St Louis Park, Minnesota. Jennifer M Metz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer M Metz is 1063499580. The last update date is 2007-07-08.
Jennifer M Metz's current location address is 6465 Wayzata Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529937169 and fax number 9529930300. The mailing address for Jennifer M Metz is 6465 Wayzata Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer M Metz |
|---|---|
| Address | 6465 Wayzata Blvd, St Louis Park, Minnesota |
| Phone Number | 9529937169 |
| Fax Number | 9529930300 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063499580 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6465 Wayzata Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554261728 |
| Phone Number | 9529937169 |
| Fax Number | 9529930300 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9677 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Jennifer M Metz by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer M Metz has been assigned the NPI (National Provider Identifier) 1063499580. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jennifer M Metz located?
The Jennifer M Metz is located at 6465 Wayzata Blvd, St Louis Park, MN 554261728.
What is the Jennifer M Metz's specialty and taxonomy code?
The Jennifer M Metz's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Jennifer M Metz receive its 1063499580?
The Jennifer M Metz was issued its 1063499580 on 2005-12-27, which is the date when the organization was assigned this unique identifier.
When was the Jennifer M Metz's information last updated?
The Jennifer M Metz's information was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY