Brian J De Michaelis in Plymouth - Nuclear Radiology

Brian J De Michaelis - NPI 1891795928

Brian J De Michaelis is a Nuclear Radiology in Plymouth, Minnesota. Brian J De Michaelis practices all healthcare services and medical treatments related to Nuclear Radiology. The NPI Number for Brian J De Michaelis is 1891795928. The last update date is 2009-03-03.

Brian J De Michaelis's current location address is 2800 Campus Dr, Plymouth, Minnesota. You can contact this provider via phone number 7635592171 and fax number 7636949000. The mailing address for Brian J De Michaelis is 2800 Campus Dr, Plymouth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian J De Michaelis
Address 2800 Campus Dr, Plymouth, Minnesota
Phone Number 7635592171
Fax Number 7636949000
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891795928
Provider Enumeration Date 2005-07-29
Last Updated Date 2009-03-03

Provider Mailing Address Detail

Address 2800 Campus Dr
City Plymouth
State Minnesota (MN)
Post Code 554412645
Phone Number 7635592171
Fax Number 7636949000

Provider's Primary Taxonomy Detail

Speciality Nuclear Radiology
Taxonomy 2085N0904X
Licence No 42494
Definition:
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
300405800 MN --

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FAQs about Brian J De Michaelis

What is the Brian J De Michaelis's unique identification number?

The Brian J De Michaelis has been assigned the NPI (National Provider Identifier) Number 1891795928 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Brian J De Michaelis is geographically located?

The Brian J De Michaelis is physically situated at the following location: 2800 Campus Dr, Plymouth, MN, 554412645.

What is Brian J De Michaelis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brian J De Michaelis's area of specialization is Nuclear Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085N0904X.

When was the Brian J De Michaelis's 1891795928 issued?

The Brian J De Michaelis's 1891795928 was issued on 2005-07-29.

As of what date were the Brian J De Michaelis's details last updated?

The information pertaining to the Brian J De Michaelis, including its address, specialty, and other details, was most recently updated on 2009-03-03.

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