MEDICARE: DENNIS TAYLOR JORGENSON-RATHKE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	13207	MN

General Provider Information

NPI Number	:	1386288793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS TAYLOR JORGENSON-RATHKE PA-C

Provider Business Mailing Address
First Line	:	3601 MINNESOTA DRIVE SUITE 200
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55435
Country	:	US
Telephone Number	:	612-879-1000
Fax Number	:	612-879-9116

Provider Business Practice Location Address
First Line	:	11091 ULYSSES ST NE STE 100
Second Line	:
City	:	BLAINE
State	:	MN
Zip	:	55434-4238
Country	:	US
Telephone Number	:	612-879-1000
Fax Number	:	612-879-0722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	08/23/2024

Similar Medicare Providers

1497736045 — PLAMEN P TODOROW MD
Practice Location Address:

11091 ULYSSES ST NE STE 100
BLAINE, MN
55434-4238

Practice Phone: 612-879-1000
Practice Fax: 612-879-9116

1407981210 — TACJANA KRYSTYNA EICH FRIDAY MD
Practice Location Address:

11091 ULYSSES ST NE STE 100
BLAINE, MN
55434-4238

Practice Phone: 612-879-1000
Practice Fax: 612-879-9116

1336333509 — DR. SHELLY LEA LARSON-PETERS M.D.
Practice Location Address:

11091 ULYSSES ST , SUITE 100
BLAINE, MN
55434-4238

Practice Phone: 612-879-1000
Practice Fax: 612-879-9116

1851805915 — QUEST DIAGNOSTICS LLC IL
Practice Location Address:

11091 ULYSSES ST NE STE 100
BLAINE, MN
55434-4238

Practice Phone: 612-879-1000
Practice Fax:

1629623525 — REBECCA LENORE ERTSGAARD PA-C
Practice Location Address:

11091 ULYSSES ST NE STE 100
BLAINE, MN
55434-4238

Practice Phone: 612-879-1000
Practice Fax: 612-879-0722

1699323162 — CRISTELLE ELISE BOOTS OD
Practice Location Address:

11091 ULYSSES ST NE STE 300
BLAINE, MN
55434-4238

Practice Phone: 952-888-5800
Practice Fax: 952-567-6156

Directions to “ DENNIS TAYLOR JORGENSON-RATHKE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.