John Cooke Kluznik in Crystal - Psychiatry

John Cooke Kluznik - NPI 1407846496

John Cooke Kluznik is a Psychiatry in Crystal, Minnesota. John Cooke Kluznik practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Cooke Kluznik is 1407846496. The last update date is 2007-07-08.

John Cooke Kluznik's current location address is 2960 Winnetka Ave N, Crystal, Minnesota. You can contact this provider via phone number 7635121090. The mailing address for John Cooke Kluznik is 2960 Winnetka Ave N, Crystal, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John Cooke Kluznik
Address 2960 Winnetka Ave N, Crystal, Minnesota
Phone Number 7635121090
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1407846496
Provider Enumeration Date 2005-10-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2960 Winnetka Ave N
City Crystal
State Minnesota (MN)
Post Code 554272853
Phone Number 7635121090
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 21665
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1567993 MEDMA
HP35359 HP
1567993 ADVAN
1015832 PEAK
1567993 UHC U
49A22KL EPNI
49A22KL CCS
1015832 PRE 1
1015832 P1CHP
1567993 UHIC

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FAQs about John Cooke Kluznik

What is the unique 10-digit identifier code assigned to John Cooke Kluznik by the Centers for Medicare & Medicaid Services?

The John Cooke Kluznik has been issued the NPI (National Provider Identifier) 1407846496 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where John Cooke Kluznik is geographically located?

The John Cooke Kluznik is physically situated at the following location: 2960 Winnetka Ave N, Crystal, MN, 554272853.

What is John Cooke Kluznik's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John Cooke Kluznik is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407846496 to John Cooke Kluznik?

The Centers for Medicare & Medicaid Services originally issued the 1407846496 to John Cooke Kluznik on 2005-10-21.

As of what date was the information regarding John Cooke Kluznik, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Cooke Kluznik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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