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NPI Code Detail

MEDICARE: JEFFREY ANTHONY FURMANEK DO

MEDICARE: JEFFREY ANTHONY FURMANEK DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician49985MN

General Provider Information

NPI Number : 1508873860
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY ANTHONY FURMANEK DO
Provider Business Mailing Address
First Line : 710 COMMERCE DR STE 200
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4925
Country : US
Telephone Number : 651-968-5042
Fax Number : 651-968-5904
Provider Business Practice Location Address
First Line : 17 EXCHANGE ST W STE 307
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-1223
Country : US
Telephone Number : 651-968-5200
Fax Number : 651-968-5903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/01/2015

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