Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Andrew Kotecki, MD

Individual provider Internal Medicine Physician · NPI 1689201360

Jack Andrew Kotecki, MD is an Internal Medicine in Robbinsdale, Minnesota. Graduated from University of Wisconsin School of Medicine in 2020, 6 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone: (763) 520-5200
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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 75814 (MN)

Record details

NPI number1689201360
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address420 Delaware St Se, Minneapolis, MN 55455-0341

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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