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JENNIFER IDICULLA, PA-C
PA-C
Physician Assistant
NPI: 1841661824IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
1289(MN)
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 4300 EDGEWOOD DR NE
SAINT MICHAEL, MN 55376 - Phone
- (763) 744-4000
Quick Facts
- NPI
- 1841661824
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 11
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