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Individual

JOHN M TESKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35234
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0160005
PREFERRED ONE
01
116229
U CARE
01
1800093
MEDICA HEALTH PLANS
01
20515
ARAZ GROUP/AMERICAS PPO
01
227R2TE
BLUE CROSS BLUE SHIELD
01
468095200
MEDICAL ASSISTANCE
05
468095200
MN
01
HP14544
HEALTH PARTNERS
Enumeration date
08/11/2005
Last updated
12/13/2011
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