Individual
JACK W ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27095
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952376014
—
MN
Enumeration date
02/22/2006
Last updated
03/21/2014
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