Individual
JONATHAN R. DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
(320) 762-6101
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
(320) 762-6101
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
49962
MN
Other
Enumeration date
07/12/2006
Last updated
10/21/2024
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