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Contact Information

JENNIFER EXO, DO
11505 36TH AVE N
PLYMOUTH, MN55441-2304
 Phone: 763-509-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER EXO · (Female)

NPI # 1376770560
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/16/2009
Last updated 08/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 49064
  • MN License # 65273
  • MO License # 2015011521
  • CO Medicaid 96134780
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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