Dr. Jack Leon-Max Mutnick, MD
Dr. Jack Leon-Max Mutnick, MD is an Allergy/Immunology in Edina, Minnesota. Graduated from University of Nevada School of Medicine in 2004, 22 years ago. Practices with Primary ENT, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 22
- Trained at
- University of Nevada School of Medicine
- Licensed in
- MN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3939 W 69th St Ste AEdina, MN 55435-2001
Phone: (612) 930-8462
Fax: (800) 785-5608
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 48180 (MN) |
|---|---|
| Allergy & Immunology Physician | Taxonomy 207K00000X · Licence 48180 (MN) |
Record details
| NPI number | 1487601316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 27, 2006 |
| Last updated in NPPES | December 11, 2024 |
| Certification date | December 11, 2024 |
| Mailing address | 3440 Molina St, Shakopee, MN 55379-5444 |
Medicare enrollment
| Medicare specialty | ALLERGY/IMMUNOLOGY |
|---|---|
| Medical school | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduated | 2004 (22 years in practice) |
| Group practice | Primary Ent, L.L.C. — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Edina
-
Dr. Paul Mitchell Blum, MD
3955 Parklawn Ave Ste 120, Edina, MN 55435-5655 · (952) 831-1944
-
Minnesota Allergy & Asthma LLC
6550 York Ave S Ste 112, Edina, MN 55435-2332 · (952) 746-1854
-
Dr. David Charles Schroeckenstein, MD
3955 Parklawn Ave Ste 120, Edina, MN 55435-5655 · (952) 831-1944