Jeffry D Jeanetta-wark (NPI# 1982778932, PAC ID# 5496882334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1982778932 |
| PAC ID by PECOS | 5496882334 |
| Professional Enrollment ID | I20100423000563 |
| Full Name | Jeffry D Jeanetta-wark |
| Address |
1751 County Rd B W Suite 100 Roseville MN 55113-4037 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1751 County Rd B W, Suite 100, Roseville, MN 55113-4037 |
| Street Address |
1751 COUNTY RD B W SUITE 100 |
| City | ROSEVILLE |
| State | MN |
| Zip | 55113-4037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefano M Sinicropi | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Matthew C Hawkins | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Eric S Salman | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Glenn R Buttermann | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Daniel P Sipple | Physical Medicine and Rehabilitation | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Phillip Charles Stewart | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Grady J Glynn | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Tonya M Wells | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Caroline A Mason | Family Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Rocklin A Shir | Emergency Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Find all physicians in zip 55113 | |||
| City | ROSEVILLE |
| Zip Code | 55113 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ROSEVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jeffry D Jeanetta-wark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.