Individual
JON D. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
4040 COON RAPIDS BLVD NW # 100, COON RAPIDS, MN 55433-2522
(763) 236-9500
Mailing address
4040 COON RAPIDS BLVD NW # 100, COON RAPIDS, MN 55433-2522
(763) 236-9500
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
077776
MN
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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