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Individual

JEFFREY P SCRIVNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
135 PINE TREE DR, BIGFORK, MN 56628
(218) 743-3232
(218) 743-4223
Mailing address
135 PINE TREE DR, PO BOX 135, BIGFORK, MN 56628
(218) 743-3232
(218) 743-4223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26152
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
714303600
MN
01
73321
MPIN
MN
Enumeration date
02/21/2006
Last updated
06/25/2021
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