Provider Demographics
NPI:1558521401
Name:METZ, JODI M (MS, PA-C)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:M
Last Name:METZ
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:500 E GRANT ST
Mailing Address - Street 2:2108
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1421
Mailing Address - Country:US
Mailing Address - Phone:651-271-7200
Mailing Address - Fax:
Practice Address - Street 1:1536 HEWITT AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-1205
Practice Address - Country:US
Practice Address - Phone:651-523-2204
Practice Address - Fax:651-523-2820
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2014-10-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant