Individual
DR. JOHN J KUNCAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 529-6616
Mailing address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 529-6616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41304
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887816100
—
MN
Enumeration date
05/11/2006
Last updated
02/28/2013
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