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Contact Information

JAY A DIRKS, MD
6600 EXCELSIOR BLVD STE 160
SAINT LOUIS PARK, MN55426
 Phone: 952-993-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAY A DIRKS · (Male)

NPI # 1255394573
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2006
Last updated 11/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 43635
  • MN Medicaid 116678600
  • MN Other 7402476 AETNA
  • MN Other 1796988 AMERICA'S PPO
  • MN Other 256R4DI BCBS OF MN
  • MN Other HP38689 HEALTHPARTNERS
  • MN Other 0113366 MEDICA
  • MN Other 6605843 MEDICA UC
  • MN Other 1029313 PREFERRED ONE
  • MN Other 171376 UCARE MN
Hospital affiliation(s)
  • HENNEPIN COUNTY MEDICAL CENTER - (Acute Care)
    701 PARK AVENUE
    MINNEAPOLIS, MN 55415
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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