Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 47068 | MN |
Y | 2081S0010X | Sports Medicine | 47068 | MN |
Y | 213ES0000X | Sports Medicine | 47068 | MN |
NPI | 1518946797 |
---|---|
Provider Name | Jeffrey M Payne |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 15/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I08135 | (02) |