Jeremy Tollefson Valid NPI
Individual provider · Contractor · Herman, MN
- NPI
- 1871316398
- Type
- Individual (Type 1)
- Primary specialty
- Contractor
- Specialty group
- Other Service Providers
- Taxonomy code
- 171W00000X
- License number
- BC807691 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-11-04
- Last updated
- 2024-11-04
Practice location
405 Berlin Ave S
Herman, MN 56248
(320) 304-3779