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Contact Information

JON E DENNIS, MD, MPH, FAAP
1900 CENTRACARE CIR
SUITE #1300
SAINT CLOUD, MN56303-5000
 Phone: 320-654-3630
 Fax: 320-654-3657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JON E DENNIS · (Male)

NPI # 1487645537
Status Active
Credentials MD, MPH, FAAP
Entity Individual
Enumeration date 10/28/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 24057
  • Other 556146 ARAZ GROUP AMERICAS PPO
  • Other 51A32DE BLUE CROSS BLUE SHIELD
  • Other SHP50A90DE BLUE CROSS BLUE SHIELD
  • Other 1123622 FIRST HEALTH PLAN
  • Other HP25415 HEALTH PARTNERS
  • Other 1202199 MEDICA HEALTH PLANS
  • Other 254009 PREFERRED ONE
  • Other 110408 U CARE
Hospital affiliation(s) Not Available
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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