Provider Demographics
NPI:1376832345
Name:COENEN, JESSE MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:JESSE
Middle Name:MATTHEW
Last Name:COENEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:324 W SUPERIOR ST
Mailing Address - Street 2:STE. 220
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-1701
Mailing Address - Country:US
Mailing Address - Phone:218-249-3500
Mailing Address - Fax:218-249-3555
Practice Address - Street 1:324 W SUPERIOR ST
Practice Address - Street 2:STE. 220
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1701
Practice Address - Country:US
Practice Address - Phone:218-249-3500
Practice Address - Fax:218-249-3555
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2025-05-20
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Provider Licenses
StateLicense IDTaxonomies
MN60414207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine