Female

Jessica M. Gutierrez M.D.

Surgery Physician in Minneapolis, MN(View on Map)

Full Name

Jessica M Gutierrez M.D.

NPI Number

1003058355

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/01/2009

Specialties

(Taxonomies)

Code

208600000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

49995

Contact
Information

Purpose

Mailing
Location

Address

2545 CHICAGO AVE
2545 CHICAGO AVE

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55404-4522
55404-4522

Country

US
US

Telephone Number

(612) 863-7770
(612) 863-7770

Identifiers

Identifier

ENROLLED
ENROLLED

Identifier State

MN
IA

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/20/2012

Provider Address

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