Provider Demographics
NPI:1083655898
Name:MAIR, DAVID JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JEFFREY
Last Name:MAIR
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2021 E HENNEPIN AVE
Mailing Address - Street 2:STE 330
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2700
Mailing Address - Country:US
Mailing Address - Phone:612-435-7200
Mailing Address - Fax:612-435-7201
Practice Address - Street 1:2021 E HENNEPIN AVE
Practice Address - Street 2:STE 330
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2700
Practice Address - Country:US
Practice Address - Phone:612-435-7200
Practice Address - Fax:612-435-7201
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2014-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA366292084P0800X
MN509082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry