Jason Donald Ellenbecker, OTC

NPI #1518675461 in Eagan, Minnesota

Provider Information

NPI Number
1518675461
Entity Type
Individual
Name
Jason Donald Ellenbecker, OTC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Orthopedic Assistant
Credential
OTC
Enumeration Date
Nov 9, 2022
Last Updated
Nov 9, 2022

Practice Location

Address
2700 VIKINGS CIR
City
Eagan
ZIP Code
55121-1002
Phone
(952) 456-7600

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Orthopedic AssistantOrthopedic Assistant

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