NPI 1083691158

Jodi Milburn

Practitioner Family Medicine Physician St Louis Park, MN

Practice location

Address: 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: (952) 993-6666
Mailing address: 6465 Wayzata Blvd Suite 315, St Louis Park, MN 55426-1728

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 36369 (MN)

Other Family Medicine providers in Minnesota →

Registry record

NPI: 1083691158
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2005
Record last updated: 10 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.