Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK LEON-MAX MUTNICK, M.D.
ActiveDR. JACK LEON-MAX MUTNICK, M.D. is a Internal Medicine healthcare provider located in EDINA, Minnesota. NPI 1487601316 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · EDINA, MN
Registration Details
- NPI Number
- 1487601316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2006 (20.230717502191 yrs)
- Last Updated
- Dec 11, 2024
- Licenses
-
48180 (MN)48180 (MN)
Practice Information
- Address
-
3939 W 69TH ST STE AEDINA, MN, 554352001Browse MN providers · Browse ZIP 55435
- Phone
- 6129308462
- Fax
- 8007855608
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in EDINA, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MOLLY E MARTIN | MD | 1538162128 |
| PAUL S. GOTLIEB | M.D. | 1578569042 |
| DR. CHRISTOPHER A ARMSTRONG | M.D. | 1619973195 |
| PRAVEENA M KANTH | M.D. | 1437155678 |
| DR. DAVID J WALCHER | MD | 1972509255 |
| DR. GARY L BRUNKOW | MD | 1558367847 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.