Dr. JACK LEON-MAX MUTNICK M.D.
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1487601316- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 3939 W 69TH ST STE A, EDINA, MN, 554352001
- Phone
- (612) 930-8462
- Fax
- (800) 785-5608
Specialties & Taxonomies
Allergy & Immunology
License: MN #48180
Internal Medicine
Primary License: MN #48180