Provider Demographics
NPI:1023052198
Name:MURRAY, JANE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:MARIE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OSSEO
Mailing Address - State:MN
Mailing Address - Zip Code:55369-1245
Mailing Address - Country:US
Mailing Address - Phone:763-425-2117
Mailing Address - Fax:763-425-3935
Practice Address - Street 1:226 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OSSEO
Practice Address - State:MN
Practice Address - Zip Code:55369-1245
Practice Address - Country:US
Practice Address - Phone:763-425-2117
Practice Address - Fax:763-425-3935
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN27173207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN98340-0012072OtherPREFERRED ONE
MNHP18600OtherHEALTH PARTNERS
MN823G5MUOtherBLUE SHIELD OF MINNESOTA
FM107991OtherUCARE
MN01-22552OtherMEDICA
FM107991OtherUCARE