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Individual

ELI JACOB HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 N 8TH AVE E, DULUTH, MN 55805-2024
(218) 723-1112
(218) 529-9120
Mailing address
330 N 8TH AVE E, DULUTH, MN 55805-2024
(218) 723-1112
(218) 529-9120

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55646
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001-0100617
MEDICA
01
1518259027
BCBS
05
1518259027
MN
01
P01111437
RR MEDICARE
Enumeration date
05/03/2011
Last updated
01/29/2013
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