Healthcare Provider Details

I. General information

NPI: 1932182540
Provider Name (Legal Business Name): JAMES M TURNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S MAPLE ST
WACONIA MN
55387-1752
US

IV. Provider business mailing address

29 E MAIN ST
WACONIA MN
55387-1114
US

V. Phone/Fax

Practice location:
  • Phone: 952-442-7015
  • Fax: 952-442-7016
Mailing address:
  • Phone: 952-442-7015
  • Fax: 952-442-7016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0247371
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: