Individual
LUIS G JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-1365
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34216
MN
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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