Individual
DR. JORDAN MATTHEW DUNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
(612) 626-6100
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 276, MINNEAPOLIS, MN 55455
(612) 624-0999
(612) 625-2174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36079
MN
207RP1001X
Pulmonary Disease Physician
Primary
36079
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01507566
—
IA
01
—
1012169
PREFERRED ONE
MN
01
—
103720
UCARE
MN
05
—
10387
—
ND
05
—
208595801
—
MI
01
—
30T39DU
BCBS
MN
05
—
31957900
—
WI
01
—
48-00006
MEDICA PRIMARY
MN
01
—
48-29941
MEDICA CHOICE
MN
01
—
768090
ARAZ
MN
05
—
7777470
—
SD
05
—
980363700
—
MN
01
—
HP13198
HEALTHPARTNERS
MN
Enumeration date
07/05/2006
Last updated
10/25/2012
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