Individual
JAMES JUDE BEVENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101015581
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
67665
MN
Other
Enumeration date
02/01/2007
Last updated
10/29/2020
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