Jacob R Dutcher in St Cloud - Cardiovascular Disease

Jacob R Dutcher - NPI 1619000999

Jacob R Dutcher is a Cardiovascular Disease in St Cloud, Minnesota. Jacob R Dutcher practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jacob R Dutcher is 1619000999. The last update date is 2015-03-06.

Jacob R Dutcher's current location address is 1200 Sixth Ave N, St Cloud, Minnesota. You can contact this provider via phone number 3206567020. The mailing address for Jacob R Dutcher is 1200 Sixth Ave N, St Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob R Dutcher
Address 1200 Sixth Ave N, St Cloud, Minnesota
Phone Number 3206567020
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619000999
Provider Enumeration Date 2007-03-14
Last Updated Date 2015-03-06

Provider Mailing Address Detail

Address 1200 Sixth Ave N
City St Cloud
State Minnesota (MN)
Post Code 563032735
Phone Number 3206567020
Fax Number

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 102900
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NPI MN --

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FAQs about Jacob R Dutcher

What is the unique identifier code issued to Jacob R Dutcher by the Centers for Medicare & Medicaid Services (CMS)?

The Jacob R Dutcher has been assigned the NPI (National Provider Identifier) 1619000999. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Jacob R Dutcher is located?

The Jacob R Dutcher is situated at the following address: 1200 Sixth Ave N, St Cloud, MN, 563032735.

What is Jacob R Dutcher's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacob R Dutcher's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.

On what date did Jacob R Dutcher receive its 1619000999 assignment from the Centers for Medicare & Medicaid Services?

The Jacob R Dutcher was assigned its 1619000999 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jacob R Dutcher most recently updated or revised?

The information pertaining to Jacob R Dutcher, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-06.

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