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

Jerome D Phaff, PA

Individual provider Physician Assistant · NPI 1821196460

Jerome D Phaff, PA is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4225 Golden Valley Rd
Minneapolis, MN 55422-4215
Phone: (763) 588-0661
Fax: (763) 302-4218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10758 (MN)

Record details

NPI number1821196460
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 31, 2019
Mailing address4225 Golden Valley Road, Minneapolis, MN 55422-4215

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