Individual
JARED EVAN LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 10TH AVE NE STE A, EH DEER RIVER CLINIC, DEER RIVER, MN 56636-8795
(218) 246-8275
Mailing address
115 10TH AVE NE STE A, EH DEER RIVER CLINIC, DEER RIVER, MN 56636-8795
(218) 246-8275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53082
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-42320
MEDICA
—
01
—
1922233261
BCBS
MN
05
—
1922233261
—
MN
01
—
P00860768
RAILROAD MEDICARE
—
Enumeration date
05/15/2009
Last updated
11/01/2012
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