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Individual

JAKUB TOLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
516 DELAWARE STREET SE, PWB 5TH FLOOR, STE 5-100 CLINIC 5B, MINNEAPOLIS, MN 55455
(612) 273-2800
Mailing address
420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-2800

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42278
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
42278
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0063240
MT
01
1028458
PREFERRED ONE
MN
01
12-02535
MEDICA CHOICE
MN
01
12-09026
MEDICA PRIMARY
MN
01
131326
FAIRVIEW
MN
01
1384114
ARAZ
FM
01
140923
UCARE
MN
05
288656100
MN
01
HP33585
HEALTH PARTNERS
MN
Enumeration date
10/11/2006
Last updated
11/18/2016
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