NPI 1780174979

Jacqueline Lois Zortman

Practitioner Radiologic Technologist Ogema, MN

Practice location

Address: 40520 Cty. Hwy. 34, Ogema, MN 56569
Phone: (218) 983-4300
Fax: (218) 983-6217
Mailing address: 40520 Cty. Hwy. 34, Ogema, MN 56569-9612

Registered specialties (3)

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 495957 (MN)

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Bone Densitometry Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471B0102X Licence 495957 (MN)

Mammography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M2300X Licence 495957 (MN)

Registry record

NPI: 1780174979
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2018
Record last updated: 14 May 2018

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.