Jordan Thaddeus Mahieu, PA-C
NPI #1003323502 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1003323502
- Entity Type
- Individual
- Name
- Jordan Thaddeus Mahieu, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 5, 2018
- Last Updated
- Jan 5, 2018
Practice Location
- Address
- 640 JACKSON ST # MS 11102F
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55101-2502
- Phone
- (952) 883-5129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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