Individual
JON C KROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6405 FRANCE AVE S, EDINA, MN 55435-2163
(952) 927-7004
Mailing address
6405 FRANCE AVE S, EDINA, MN 55435-2163
(952) 927-7004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44455
MN
2086S0102X
Surgical Critical Care Physician
44455
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082716900
—
MN
Enumeration date
06/18/2006
Last updated
11/14/2023
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