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1649430976 NPI number — MICHAEL F. MCNEELEY MD

NPI Number: 1649430976
Health Care Provider/Practitioner: MICHAEL F. MCNEELEY MD

Information about “1649430976” NPI (MICHAEL F. MCNEELEY MD) exists in 1649430976 in HTML format HTML  |  1649430976 in plain Text format TXT  |  1649430976 in PDF (Portable Document Format) PDF  |  1649430976 in an XML format XML  formats.

NPI Number : 1649430976 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649430976",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCNEELEY",
    "FirstName": "MICHAEL",
    "MiddleName": "F.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1450",
    "SecondLineMailingAddress": "NW 6035",
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55485-6035",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-542-8553",
    "MailingAddressFaxNumber": "952-513-6880",
    "FirstLinePracticeLocationAddress": "5775 WAYZATA BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 190",
    "PracticeLocationAddressCityName": "ST LOUIS PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55416-2627",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-541-1840",
    "PracticeLocationAddressFaxNumber": "952-543-6524",
    "EnumerationDate": "06/10/2008",
    "LastUpdateDate": "05/24/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085B0100X",
          "TaxonomyName": "Body Imaging Physician",
          "LicenseNumber": "MD60235444",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "61319",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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