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Jack Mutnick, M.D
NPI 1487601316 · on the registry since 2006
Practice
- Address
- 3939 W 69th St Ste A
Edina, MN 55435 - Phone
- (612) 930-8462
- Fax
- (800) 785-5608
- Organisation at this address
- Phoenix Physical Therapy, Inc.
Integrative Immunity Health System PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Also registered as
- Allergy & Immunology Physician
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota