Provider Demographics
NPI:1821342569
Name:LITKE, JAMIE DANIEL (DVM)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:DANIEL
Last Name:LITKE
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:PIERZ
Mailing Address - State:MN
Mailing Address - Zip Code:56364-0024
Mailing Address - Country:US
Mailing Address - Phone:320-468-6666
Mailing Address - Fax:
Practice Address - Street 1:27698 153RD ST
Practice Address - Street 2:
Practice Address - City:PIERZ
Practice Address - State:MN
Practice Address - Zip Code:56364-2505
Practice Address - Country:US
Practice Address - Phone:320-468-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00504174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian