Individual
JERRY E MCCRERY
Active
Individual
JERRY E MCCRERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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