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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 |
