Individual
DR. JAY LENARD HOROWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3701 12TH ST N, SUITE 202, SAINT CLOUD, MN 56303-2255
(320) 258-3090
(320) 258-3095
Mailing address
3701 12TH ST N, SUITE 202, SAINT CLOUD, MN 56303-2255
(320) 258-3090
(320) 258-3095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00029475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101525
L&I ID#
WA
05
—
1093921
—
WA
01
—
141447000
US DEPT OF LABOR
WA
01
—
242719001
GROUP HEALTH ID#
WA
01
—
8198309
CRIME VICTIMS OF WA
WA
01
—
HO8211
REGENCE BLUE SHIELD OF WA
WA
Enumeration date
05/10/2006
Last updated
11/20/2014
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