Basic Information
| Provider Information | |||||||||
| NPI: | 1780848317 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARNIER | ||||||||
| FirstName: | JILL | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15111 TWELVE OAKS CENTER DR | ||||||||
| Address2: | |||||||||
| City: | MINNETONKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553055202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9529934500 | ||||||||
| FaxNumber: | 9529934639 | ||||||||
| Practice Location | |||||||||
| Address1: | 15111 TWELVE OAKS CENTER DR | ||||||||
| Address2: | |||||||||
| City: | MINNETONKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553055202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9529934500 | ||||||||
| FaxNumber: | 9529934639 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2008 | ||||||||
| LastUpdateDate: | 12/06/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 036120170 | IL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | A108708 | CA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 63685 | MN | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.