JENNIFER IDICULLA, PA-C

PA-C

Physician Assistant

NPI: 1841661824IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

1289(MN)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2015

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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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