Individual provider · NPI-1

Dr. Jason Daniel Byers, M.D.

Family Medicine · Coon Rapids, MN

NPI number1467488254
StatusActive
Last updated in NPPESNov 10, 2020

Details

NPI
1467488254
Entity type
Individual (NPI-1)
Name
Dr. Jason Daniel Byers
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2006
Certification date
Nov 10, 2020
Last updated
Nov 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine47867MNYes

Practice location

9055 Springbrook Dr Nw
Mr 73006
Coon Rapids, MN 55433-5841

Phone 763-780-9155

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

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