Brock Jerod Mcintyre in Maple Grove - Family Medicine
Brock Jerod Mcintyre - NPI 1467413096
Brock Jerod Mcintyre is a Family Medicine in Maple Grove, Minnesota. Brock Jerod Mcintyre practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brock Jerod Mcintyre is 1467413096. The last update date is 2020-11-10.
Brock Jerod Mcintyre's current location address is 7840 Vinewood Ln N, Maple Grove, Minnesota. You can contact this provider via phone number 7632360200 and fax number 6124205531. The mailing address for Brock Jerod Mcintyre is 7840 Vinewood Ln N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brock Jerod Mcintyre |
|---|---|
| Address | 7840 Vinewood Ln N, Maple Grove, Minnesota |
| Phone Number | 7632360200 |
| Fax Number | 6124205531 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1467413096 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
| Address | 7840 Vinewood Ln N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553697185 |
| Phone Number | 7632360200 |
| Fax Number | 6124205531 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 46044 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the Brock Jerod Mcintyre's 1467413096?
The Brock Jerod Mcintyre's NPI (National Provider Identifier) Number is 1467413096. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brock Jerod Mcintyre?
The Brock Jerod Mcintyre is situated at 7840 Vinewood Ln N, in the city of Maple Grove, state of MN, with the zip code 553697185.
What is Brock Jerod Mcintyre's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brock Jerod Mcintyre is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When did the Brock Jerod Mcintyre receive its 1467413096?
The Brock Jerod Mcintyre was issued its 1467413096 on 2006-03-31, which is the date when the organization was assigned this unique identifier.
As of what date were the Brock Jerod Mcintyre's details last updated?
The information pertaining to the Brock Jerod Mcintyre, including its address, specialty, and other details, was most recently updated on 2020-11-10.