MS. Jeanine Marie Edstrom, PAC

NPI #1447560693 in Eagan, Minnesota

Provider Information

NPI Number
1447560693
Entity Type
Individual
Name
MS. Jeanine Marie Edstrom, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PAC
Enumeration Date
Oct 20, 2010
Last Updated
Mar 20, 2013

Practice Location

Address
1185 TOWN CENTRE DR STE 200
City
Eagan
ZIP Code
55123-1343
Phone
(612) 871-1145

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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