Jay A. Dirks, M.D.
Family Medicine · St Louis Park, MN
UnclaimedM.D.NPI 1255394573
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2006-04-08
- Practice location
- St Louis Park, MN
- Last NPPES update
- 2019-11-21
State licenses
- MN · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.