Individual
DR. JOHN COOKE KLUZNIK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2960 WINNETKA AVE N, SUITE 208, CRYSTAL, MN 55427-2853
(763) 512-1090
Mailing address
1042 SUMMIT AVE, SAINT PAUL, MN 55105-3003
(651) 293-1076
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21665
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015832
PEAK
—
01
—
1567993
MEDMA
—
01
—
49A22KL
EPNI
—
01
—
HP35359
HP
—
Enumeration date
10/21/2005
Last updated
07/08/2007
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