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NPI Code Detail

MEDICARE: JOHN T BEUERLEIN MD

MEDICARE: JOHN T BEUERLEIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician31306TN
2207R00000XInternal Medicine PhysicianMD31306TN

General Provider Information

NPI Number : 1417040205
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN T BEUERLEIN MD
Provider Business Mailing Address
First Line : 2732 CRAYTHORNE DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-1321
Country : US
Telephone Number : 412-720-7178
Fax Number :
Provider Business Practice Location Address
First Line : 1559 SPARTA ST OFC
Second Line :
City : MCMINNVILLE
State : TN
Zip : 37110-1316
Country : US
Telephone Number : 412-720-7178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 08/09/2020

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