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Contact Information

JACOB R DUTCHER, MD
1200 SIXTH AVE N
SAINT CLOUD, MN56303-2735
 Phone: 320-656-7020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACOB R DUTCHER · (Male)

NPI # 1619000999
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2007
Last updated 03/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 102900
  • MN License # 43641
  • MN Medicaid NPI
Hospital affiliation(s)
  • DOUGLAS COUNTY HOSPITAL - (Acute Care)
    111 17TH AVENUE EAST
    ALEXANDRIA, MN 56308
  • ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER - (Acute Care)
    523 NORTH 3RD STREET
    BRAINERD, MN 56401
  • RICE MEMORIAL HOSPITAL - (Acute Care)
    301 BECKER AVE SW
    WILLMAR, MN 56201
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
  • TRI COUNTY HOSPITAL - (Critical Access)
    415 JEFFERSON STREET NORTH
    WADENA, MN 56482
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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