person
James R Custer, MD
Diagnostic Radiology Physician in Mankato, Minnesota
NPI 1497734446

James R Custer is a Diagnostic Radiology Physician based in Mankato, MN and is specialized in Diagnostic Radiology. James R Custer practices in Mankato, MN and has the professional credentials of MD. The NPI Number for James R Custer is 1497734446 and holds a License No. 18142 (Minnesota).

The current practice location address for James R Custer is 1230 E Main Street, Mankato, MN and can be reached out via phone at 507-625-1811. You can also correspond with James R Custer through the mailing address at PO BOX 8674, MANKATO, MN - 56002-8674 (mailing address contact number: 507-625-1811).

Location: 1230 E Main Street, Mankato, MN, 56002-8674
person
Provider Profile Details
NPI Number
1497734446
Provider Name
James R Custer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1230 E Main Street, Mankato, MN, 56002-8674
Phone Number
507-625-1811
Fax Number
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300049064 01 RR MEDICARE
90910 01 IA BCBS
3M374CU 01 MN BCBS
410849339 56001 C025 01 CHAMPUS
928747 01 IA MEDICAID
232272200 05 MN
764330 01 MN AMERICAS PPO
1600689 01 MN MEDICA
NA2951014708 01 MN PREFERRED ONE
115336 01 MN UCARE
HP24199 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1230 E Main Street
City
State
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider Business Mailing Address Details
Address
1230 E Main Street
City
State
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
18142 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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