Magruder, Jessica

Magruder, Jessica is an individual health care provider with primary practice located at 6500 Excelsior Blvd Methodist Hospital, St Louis Park MN 55426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Magruder, Jessica can be contacted via phone (952) 993-6080.

Contact Information

Primary practice address
6500 Excelsior Blvd Methodist Hospital St Louis Park MN 55426
Phone: (952) 993-6080
Fax: (952) 993-6047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45575 Minnesota

Profile Details

NPI number 1558338715
LBN Legal business name Magruder, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 26th, 2010 - about 14 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 1558338715 NPPES
Minnesota MEDICAID 697641700
Minnesota Other 45575

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