Individual
JON E DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, FAAP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110408
U CARE
—
01
—
1123622
FIRST HEALTH PLAN
—
01
—
1202199
MEDICA HEALTH PLANS
—
01
—
254009
PREFERRED ONE
—
01
—
51A32DE
BLUE CROSS BLUE SHIELD
—
01
—
556146
ARAZ GROUP AMERICAS PPO
—
01
—
HP25415
HEALTH PARTNERS
—
01
—
SHP50A90DE
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/28/2005
Last updated
07/08/2007
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