Individual provider · Type 1 NPI

Jordan Hagenbucher

Student in an Organized Health Care Education/Training Program · Duluth, MN

NPI number 1700356102 Active

Practice location

1200 Kenwood Ave
Duluth, MN 55811-4199

Call (715) 297-7216 Map

Mailing address

133 Summit St Apt 417
Duluth, MN 55803-4525

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700356102

Jordan Hagenbucher's National Provider Identifier is 1700356102, issued on Nov 28, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Duluth, MN. The record was last updated on Nov 28, 2018.