Dennis Taylor Jorgenson-Rathke, PA-C

NPI #1386288793 in Blaine, Minnesota

Provider Information

NPI Number: 1386288793
Entity Type: Individual
Name: Dennis Taylor Jorgenson-Rathke, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 30, 2019
Last Updated: Aug 23, 2024

Practice Location

Address: 11091 ULYSSES ST NE STE 100
City: Blaine
State: Minnesota
ZIP Code: 55434-4238
Phone: (612) 879-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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