Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 52253 | MN |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60346762 | WA |
Y | 2081S0010X | Sports Medicine | 52253 | MN |
Y | 213ES0000X | Sports Medicine | 52253 | MN |
NPI | 1134373400 |
---|---|
Provider Name | Dr. Elena Jean Jelsing |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2008 |
Last Update Date | 16/02/2021 |