Jesse Lee Fladmark, PA-C, ATC

NPI #1295019388 in Eagan, Minnesota

Provider Information

NPI Number: 1295019388
Entity Type: Individual
Name: Jesse Lee Fladmark, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Oct 6, 2011
Last Updated: May 19, 2023

Practice Location

Address: 1654 DIFFLEY RD
Address 2: 100
City: Eagan
State: Minnesota
ZIP Code: 55122-2237
Phone: (651) 641-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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