Individual
NEIL E JONASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26966
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106048
MEDICA #
MN
01
—
0106050
MEDICA #
MN
05
—
054063300
—
MN
01
—
116791
UCARE #
MN
05
—
16653
—
MN
01
—
2367
SIOUX VALLEY #
MN
01
—
24325JO
MNBS #
MN
01
—
6465
NDBS #
MN
01
—
6469
NDBS #
MN
01
—
911325
AMERICA'S PPO/ARAZ #
MN
01
—
DA9031015652
PREFERRED ONE #
MN
01
—
HP19548
HEALTHPARTNERS #
MN
01
—
MN100023
LHS/BANNERHEALTH #
MN
Enumeration date
05/26/2006
Last updated
11/22/2011
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