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Individual

DR. JAY B KNAAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 HIGHWAY 71, INTERNATIONAL FALLS, MN 56649
(218) 283-5503
Mailing address
1400 HWY 71, INTERNATIONAL FALLS, MN 56649
(218) 283-5503

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36810
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093817300
MN
01
63G38KN
BCBS
MN
Enumeration date
08/14/2006
Last updated
02/06/2018
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