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Individual

JODY KAY HARGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7600 FRANCE AVE S STE 5100, EDINA, MN 55435
(952) 893-1959
(952) 893-1954
Mailing address
7600 FRANCE AVE S STE 5100, EDINA, MN 55435-5924
(952) 893-1959
(952) 893-1954

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
29227
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105766C477
UCARE
MN
01
24766
AMERICA'S PPO
MN
05
31558890
MN
01
3217002
MEDICA
MN
01
411774839A005
CHAMPUS
MN
01
660003748
RR MEDICARE
MN
01
66Q41HA
BLUE CROSS BLUE SHIELD
MN
01
960080401007
PREFERRED ONE
MN
01
HP13471
HEALTHPARTNERS
MN
Enumeration date
06/09/2005
Last updated
11/18/2020
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