Provider Demographics
NPI:1780848317
Name:GARNIER, JILL MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARIE
Last Name:GARNIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15111 TWELVE OAKS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-5202
Mailing Address - Country:US
Mailing Address - Phone:952-993-4500
Mailing Address - Fax:952-993-4639
Practice Address - Street 1:15111 TWELVE OAKS CENTER DR
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-5202
Practice Address - Country:US
Practice Address - Phone:952-993-4500
Practice Address - Fax:952-993-4639
Is Sole Proprietor?:No
Enumeration Date:2008-07-13
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036120170207V00000X
CAA108708207V00000X
MN63685207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology