Individual
JEFFREY B RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
COMMUNITY MEMORIAL HOSPITAL, 512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 927-4130
Mailing address
COMMUNITY MEMORIAL HOSPITAL, 512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 927-4130
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
42724
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080009937
MEDICARE WPS - HOSPITAL
MN
01
—
080011425
MEDICARE WPS - AITKIN CLI
MN
01
—
080015004
MEDICARE WPS - MCGREGOR C
MN
05
—
829625100
—
MN
Enumeration date
03/10/2006
Last updated
11/06/2020
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