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NPI Code Detail

MEDICARE: JOSEPH MARVYN NERI D.O.

MEDICARE: JOSEPH MARVYN NERI D.O.
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
1207P00000XEmergency Medicine Physician5101013054MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023022902
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MARVYN NERI D.O.
Provider Business Mailing Address
First Line : 2515 HARRISON AVE APT 404
Second Line :
City : CHEBOYGAN
State : MI
Zip : 49721-1377
Country : US
Telephone Number : 906-643-8585
Fax Number : 906-643-9036
Provider Business Practice Location Address
First Line : 220 BURDETTE ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1712
Country : US
Telephone Number : 906-643-8585
Fax Number : 906-643-9036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/08/2007

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Directions to “ JOSEPH MARVYN NERI D.O.” Practice Location

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