Individual
GARY WAYNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27729
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250870200
—
MN
Enumeration date
06/21/2006
Last updated
06/27/2011
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