Neudecker, Michael Edward

Neudecker, Michael Edward is an individual health care provider with primary practice located at 811 2Nd St Se Suite A, Little Falls MN 56345-3559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Neudecker, Michael Edward can be contacted via phone (320) 631-7000.

Contact Information

Primary practice address
811 2Nd St Se Suite A Little Falls MN 56345-3559
Phone: (320) 631-7000
Fax: (320) 632-0534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26011 Minnesota

Profile Details

NPI number 1477585719
LBN Legal business name Neudecker, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477585719 NPPES
Minnesota Other 112332C736 UCARE MINNEOSTA
Minnesota Other NA9230454511 UCARE MINNEOSTA
Minnesota Other 21629 UCARE MINNEOSTA
Minnesota MEDICAID 757703600 UCARE MINNEOSTA
Minnesota Other A011 UCARE MINNEOSTA
Minnesota Other HP11117 UCARE MINNEOSTA
Minnesota Other 0103874 UCARE MINNEOSTA
Minnesota Other 54682NE UCARE MINNEOSTA

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