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JEFFREY MAZIQUE M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1902905300

Individual Registrant:
 JEFFREY  MAZIQUE M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1025 N 13TH ST  MONTEVIDEO, MN 56265-1653 US
Tel: 320-269-2222  Fax: --

Contact information for business:
1025 N 13TH ST  MONTEVIDEO, MN 56265-1653 US
Tel: 320-269-2222  Fax: --

Registration Information:
NPI: 1902905300
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
DC12146

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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