Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Petricig

Individual provider Specialist · NPI 1578003364

Jennifer Petricig is a Specialist in Maple Grove, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017

Practice location Address checks out

7237 Forestview Ln N
Maple Grove, MN 55369-5501
Phone: (763) 420-8595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (MN)

Record details

NPI number1578003364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2017
Last updated in NPPESFebruary 28, 2017
Mailing address613 Western St, Anoka, MN 55303-2004

Other providers in Maple Grove