Whalio Doctors

NPI 1174539514

Jenny L Thacker, MD

Practitioner Emergency Medicine Physician Edina, MN

Practice location

Address
7301 Ohms Ln Suite 650, Edina, MN 55439-2331
Phone
(952) 835-9880
Fax
(952) 857-1554

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 32400 (AZ)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 44616 (MN)

Registry record

NPI
1174539514
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Jul 2006
Record last updated
14 Jul 2008

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.