Jonathon David Jaqua, D.O.

NPI #1396062923 in Edina, Minnesota

Provider Information

NPI Number
1396062923
Entity Type
Individual
Name
Jonathon David Jaqua, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Obstetrics & Gynecology
Credential
D.O.
Enumeration Date
Apr 21, 2010
Last Updated
Aug 22, 2014

Practice Location

Address
3625 W. 65TH STREET
Address 2
SUITE 100
City
Edina
ZIP Code
55435
Phone
(952) 920-7001

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Obstetrics & Gynecology

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