MR. Jesse L Goembel, PA-C

NPI #1356486963 in Fridley, Minnesota

Provider Information

NPI Number: 1356486963
Entity Type: Individual
Name: MR. Jesse L Goembel, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 21, 2007
Last Updated: Nov 10, 2020

Practice Location

Address: 550 OSBORNE RD NE
City: Fridley
State: Minnesota
ZIP Code: 55432-2718
Phone: (763) 236-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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