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
ZIP Code
55101-2502
Phone
(952) 883-5129

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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