Individual
JON A VANLOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5600
Mailing address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38363
MN
Other
Enumeration date
06/05/2006
Last updated
03/06/2019
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