Neudecker, Maggie Beth

Neudecker, Maggie Beth is an individual health care provider with primary practice located at 4570 Cty. Hwy. 61 , Moose Lake MN 55767-9401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Neudecker, Maggie Beth can be contacted via phone (218) 485-4491.

Contact Information

Primary practice address
4570 Cty. Hwy. 61 Moose Lake MN 55767-9401
Fax: (218) 485-4724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54207 Minnesota

Profile Details

NPI number 1154647071
LBN Legal business name Neudecker, Maggie Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Jan 13th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154647071 NPPES
Other 1154647071 MEDICA
Other P00978476 MEDICA
MEDICAID 1154647071 MEDICA
Other 1154647071 MEDICA

Popular Providers