Individual
DR. JONATHAN CHASE HOMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454
(612) 273-9822
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-9822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
58584
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
58584
MN
Other
Enumeration date
07/16/2012
Last updated
08/26/2018
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