Provider Demographics
NPI:1639121460
Name:CALL, JAMES EDMUND JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDMUND
Last Name:CALL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:22015 STATE HIGHWAY 6
Mailing Address - Street 2:P.O. BOX 506
Mailing Address - City:DEERWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56444-6278
Mailing Address - Country:US
Mailing Address - Phone:218-546-7119
Mailing Address - Fax:218-546-7119
Practice Address - Street 1:22015 STATE HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:DEERWOOD
Practice Address - State:MN
Practice Address - Zip Code:56444-6278
Practice Address - Country:US
Practice Address - Phone:218-546-7119
Practice Address - Fax:218-546-7119
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN45328204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEE29175Medicare UPIN