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Dr. Jeffrey A Horak

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jeffrey A Horak
Gender: M
Provider License Number If Given: 49151

NPI Information:

NPI: 1447259973
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 2/16/2017

Provider Business Mailing Address:

Address: 712 SOUTH CASCADE STREET
Fergus Falls, MN 56537
Phone Number: 2187368000
Fax Number: 2187368757

Provider Business Practice Location Address:

Address: 712 SOUTH CASCADE STREET
Fergus Falls, MN 56537
Phone Number: 2187368000
Fax Number: 2187368757

Provider Taxonomy:

Primary: 208600000X
Secondary (if any): 208600000X
State: MN

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