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NPI Code Detail

MEDICARE: ELINA JERSCHOW MD

MEDICARE: ELINA JERSCHOW MD
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
1207K00000XAllergy & Immunology Physician71101MN
2207R00000XInternal Medicine Physician002315NY
3207RA0201XAllergy & Immunology (Internal Medicine) Physician71101MN

General Provider Information

NPI Number : 1922197235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELINA JERSCHOW MD
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number : 718-904-2376
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 06/23/2022

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