Individual
JACOB JUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116017922
VA
208600000X
Surgery Physician
Primary
54703
MN
208600000X
Surgery Physician
MD036678
DC
208600000X
Surgery Physician
MD41639
IA
Other
Enumeration date
11/19/2008
Last updated
07/21/2022
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