MEDICARE: DEAN MEISEL 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	207R00000X	Internal Medicine Physician	32791	NC
2	208000000X	Pediatrics Physician	32791	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110148621	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1030P	OTHER	NC	BCBS NC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982716502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN MEISEL MD

Provider Business Mailing Address
First Line	:	1202 MEDICAL CENTER DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7307
Country	:	US
Telephone Number	:	910-341-3300
Fax Number	:	910-341-3321

Provider Business Practice Location Address
First Line	:	8108B MARKET ST
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-9386
Country	:	US
Telephone Number	:	910-686-2099
Fax Number	:	910-681-3904

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/12/2014

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Directions to “ DEAN MEISEL MD” Practice Location

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