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NPI Code Detail

MEDICARE: RORY JAMES LEE MCFARLANE

MEDICARE:   RORY JAMES LEE MCFARLANE
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
1363A00000XPhysician Assistant
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1508798067
Entity Type Code : Individual
Provider Name (Legal Business Name) : RORY JAMES LEE MCFARLANE
Provider Business Mailing Address
First Line : 2350 RIDGE DR APT 201
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-5652
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2350 RIDGE DR APT 201
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-5652
Country : US
Telephone Number : 612-384-0677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ RORY JAMES LEE MCFARLANE ” Practice Location

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