Male or Other

Dr. Michael E. Neudecker M.D.

Family Medicine Physician in Little Falls, MN(View on Map)

Full Name

Dr. Michael Edward Neudecker M.D.

NPI Number

1477585719

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/07/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

26011

Contact
Information

Purpose

Mailing
Location

Address

811 2ND ST SE
811 2ND ST SE

City

Little Falls
Little Falls

State

MN
MN

Postal Code

56345-3559
56345-3559

Country

US
US

Telephone Number

(320) 631-7000
(320) 631-7000

Identifiers

Identifier

112332C736
NA9230454511
21629
757703600
A011
HP11117
0103874
54682NE

Identifier State

MN
Unknown
Unknown
MN
MN
Unknown
Unknown
MN

Identifier Issuer

UCARE MINNEOSTA
PREFERRED ONE
AMERICA'S PPO
Unknown
TRICARE
HEALTH PARTNERS
MEDICA
BCBS OF MINNESOTA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/07/2012

Provider Address

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