Provider Demographics
NPI:1245042415
Name:JESME, GUNNAR JAMES (DPT)
Entity type:Individual
Prefix:DR
First Name:GUNNAR
Middle Name:JAMES
Last Name:JESME
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 PLEASANT AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-4339
Mailing Address - Country:US
Mailing Address - Phone:218-689-6561
Mailing Address - Fax:
Practice Address - Street 1:3500 PLEASANT AVE APT 206
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-4339
Practice Address - Country:US
Practice Address - Phone:218-689-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12878261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy