Individual
JERRY E MCCRERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1527 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 762-0399
(320) 762-6847
Mailing address
1527 BROADWAY ST, ALEXANDRIA, MN 56308-2537
(320) 762-0399
(320) 762-6847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
022578
MN
207R00000X
Internal Medicine Physician
Primary
22578
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400552
MEDICA
MN
01
—
1000248
PREFERRED ONE
MN
01
—
121118D277
UCARE
MN
01
—
31T05MC
BLUE SHIELD
MN
05
—
738285500
—
MN
01
—
763172
AMERICA'S PPO
MN
01
—
A009
CHAMPUS
MN
01
—
HP24911
HEALTH PARTNERS
MN
Enumeration date
01/19/2006
Last updated
07/29/2014
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