Provider Demographics
NPI:1679810709
Name:SKORINA, JANE-MARIE GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE-MARIE
Middle Name:GRACE
Last Name:SKORINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 IRVING AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3320
Mailing Address - Country:US
Mailing Address - Phone:612-284-1968
Mailing Address - Fax:
Practice Address - Street 1:3308 IRVING AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3320
Practice Address - Country:US
Practice Address - Phone:612-284-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37531207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology