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NPI Code Detail

MEDICARE: DR. MELVIN SETH RAPELYEA M.D.

MEDICARE:  DR. MELVIN SETH RAPELYEA  M.D.
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
1174400000XSpecialist35735TN
22085R0202XDiagnostic Radiology PhysicianMD0000035735TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2300128237OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1053305946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELVIN SETH RAPELYEA M.D.
Provider Business Mailing Address
First Line : 11995 SINGLETREE LN
Second Line : SUITE 500
City : EDEN PRAIRIE
State : MN
Zip : 55344-5347
Country : US
Telephone Number : 952-595-1242
Fax Number : 952-935-2757
Provider Business Practice Location Address
First Line : 4495 BEAR LAKE RD
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-3121
Country : US
Telephone Number : 952-595-1242
Fax Number : 952-935-2757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 10/07/2009

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