Individual
DR. JAMES JOHN TE UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
(701) 530-8842
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
(701) 530-8842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53499
MN
208M00000X
Hospitalist Physician
Primary
53499
MN
208M00000X
Hospitalist Physician
9350
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12635
—
ND
01
—
P00336043
RR MEDICARE
ND
Enumeration date
01/18/2006
Last updated
03/16/2023
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