Most Relevant Information
Provider Data
| NPI Number: | 1003487166 |
| Provider Name: | JACQUELINE MARIE GASPERLIN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 13734 |
Most Important Dates
| Enumeration Date: | 07/08/2021 |
| Last Updated: | 01/18/2022 |
Provider Practice Location
800 E 28TH ST
MINNEAPOLIS
MN
554073723
Practice Location Phone/Fax
| Phone: | 6128634000 |
| Fax: |
Provider Mailing Location
800 E 28TH ST
MINNEAPOLIS
MN
554073723
Provider Mailing Phone/Fax
| Phone: | 6128634000 |
| Fax: |