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NPI Code Detail

MEDICARE: JAMES TUNG-CHIEH LI M.D.

MEDICARE: JAMES TUNG-CHIEH LI 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
1207RA0201XAllergy & Immunology (Internal Medicine) Physician28955MN
2207K00000XAllergy & Immunology Physician28955MN

General Provider Information

NPI Number : 1154300861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES TUNG-CHIEH LI M.D.
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 08/18/2020

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