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Contact Information

JENNIFER A GRESETH, PA-C
3366 OAKDALE AVE N
SUITE 103
ROBBINSDALE, MN55422-2948
 Phone: 763-520-7870
 Fax: 763-520-7889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER A GRESETH · (Female)

NPI Number 1982796199
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/28/2006
Last updated 09/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10579
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • BUFFALO HOSPITAL - (Acute Care)
    303 CATLIN ST
    BUFFALO, MN 55313
  • MAPLE GROVE HOSPITAL - (Acute Care)
    9875 HOSPITAL DRIVE
    MAPLE GROVE, MN 55369
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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