Gutierrez, Jessica M

Gutierrez, Jessica M is an individual health care provider with primary practice located at 2545 Chicago Ave Suite 601, Minneapolis MN 55404-4522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Gutierrez, Jessica M can be contacted via phone (612) 863-7770.

Contact Information

Primary practice address
2545 Chicago Ave Suite 601 Minneapolis MN 55404-4522
Phone: (612) 863-7770
Fax: (612) 863-7772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 49995 Minnesota

Profile Details

NPI number 1003058355
LBN Legal business name Gutierrez, Jessica M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Sep 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003058355 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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