Provider Demographics
NPI:1467420356
Name:WEEKS, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:WEEKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2850 AURORA CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1300
Mailing Address - Country:US
Mailing Address - Phone:320-240-9437
Mailing Address - Fax:
Practice Address - Street 1:2000 ABBOTT NORTHWESTERN CT
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-4205
Practice Address - Country:US
Practice Address - Phone:320-251-5676
Practice Address - Fax:320-251-0623
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN24598208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1M928WEOtherBCBSM
MN1727144OtherMEDICA
D75880Medicare UPIN