Individual
DR. JONATHAN JAMES HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-5274
(320) 762-1144
(320) 762-1935
Mailing address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-5274
(320) 762-1144
(320) 762-1935
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
61500
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851705057
—
MN
Enumeration date
06/16/2014
Last updated
10/21/2024
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