MEDICARE: ALAIN DESY MD

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
1	207X00000X	Orthopaedic Surgery Physician	0101050433	VA
2	207X00000X	Orthopaedic Surgery Physician	01066057A	IN
3	207XX0801X	Orthopaedic Trauma Physician	036116736	IL
4	207X00000X	Orthopaedic Surgery Physician	108905	MN

General Provider Information

NPI Number	:	1922003409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAIN DESY MD

Provider Business Mailing Address
First Line	:	300 S BRUCE ST
Second Line	:
City	:	MARSHALL
State	:	MN
Zip	:	56258-1934
Country	:	US
Telephone Number	:	507-537-9007
Fax Number	:	507-537-2734

Provider Business Practice Location Address
First Line	:	300 S BRUCE ST
Second Line	:
City	:	MARSHALL
State	:	MN
Zip	:	56258-1934
Country	:	US
Telephone Number	:	507-537-9007
Fax Number	:	507-537-2734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	05/26/2016

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