Jack Leon-Max Mutnick in St Louis Park - Allergy & Immunology

Jack Leon-Max Mutnick - NPI 1487601316

Jack Leon-Max Mutnick is a Allergy & Immunology in St Louis Park, Minnesota. Jack Leon-Max Mutnick practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Jack Leon-Max Mutnick is 1487601316. The last update date is 2023-02-20.

Jack Leon-Max Mutnick's current location address is 4201 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529338900 and fax number 9529459536. The mailing address for Jack Leon-Max Mutnick is 4201 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Leon-Max Mutnick
Address 4201 Excelsior Blvd, St Louis Park, Minnesota
Phone Number 9529338900
Fax Number 9529459536
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487601316
Provider Enumeration Date 2006-05-27
Last Updated Date 2023-02-20

Provider Mailing Address Detail

Address 4201 Excelsior Blvd
City St Louis Park
State Minnesota (MN)
Post Code 554164728
Phone Number 9529338900
Fax Number 9529459536

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 48180
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

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FAQs about Jack Leon-Max Mutnick

What is the unique identifier code issued to Jack Leon-Max Mutnick by the Centers for Medicare & Medicaid Services?

The Jack Leon-Max Mutnick has been assigned the NPI (National Provider Identifier) 1487601316. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jack Leon-Max Mutnick located?

The Jack Leon-Max Mutnick is located at 4201 Excelsior Blvd, St Louis Park, MN 554164728.

What is the area of specialization for Jack Leon-Max Mutnick, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jack Leon-Max Mutnick is Allergy & Immunology, and the corresponding taxonomy code that categorizes this area of expertise is 207K00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1487601316 to Jack Leon-Max Mutnick?

The Centers for Medicare & Medicaid Services assigned the 1487601316 to Jack Leon-Max Mutnick on 2006-05-27.

When was the Jack Leon-Max Mutnick's information last updated?

The Jack Leon-Max Mutnick's information was last updated on 2023-02-20.

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