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Individual

JEFFERY J TEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2121
Mailing address
111 GOLF COURSE RD, STE 1, GRAND RAPIDS, MN 55744-3526
(218) 326-8749
(218) 326-0400

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0359861
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106837
MEIDCA
MN
01
143435
U CARE
MN
01
41B60TE
BCBS
MN
01
500026265
RAILROAD MEDICARE
MN
01
849650100
ITASCA MEDICAL CARE
MN
05
849650100
MN
01
982221028303
PREFERRED ONE
MN
01
HP49668
HEALTH PARTNERS
MN
01
NO10804
CHAMPUS
MN
Enumeration date
01/17/2006
Last updated
09/16/2025
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