Individual
DR. JAYTEN SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.; MS
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101019897
MI
Other
Enumeration date
05/17/2012
Last updated
06/24/2016
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