John W Mcivor in Eden Prairie - Diagnostic Radiology

John W Mcivor - NPI 1184607426

John W Mcivor is a Diagnostic Radiology in Eden Prairie, Minnesota. John W Mcivor practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for John W Mcivor is 1184607426. The last update date is 2011-01-19.

John W Mcivor's current location address is 11995 Singletree Ln, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951100 and fax number 9529423361. The mailing address for John W Mcivor is 11995 Singletree Ln, Eden Prairie, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John W Mcivor
Address 11995 Singletree Ln, Eden Prairie, Minnesota
Phone Number 9525951100
Fax Number 9529423361
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184607426
Provider Enumeration Date 2005-11-21
Last Updated Date 2011-01-19

Provider Mailing Address Detail

Address 11995 Singletree Ln
City Eden Prairie
State Minnesota (MN)
Post Code 553445347
Phone Number 9525951100
Fax Number 9529423361

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 93421
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
387279 NY --

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FAQs about John W Mcivor

What is the John W Mcivor's unique identification number?

The John W Mcivor has been assigned the NPI (National Provider Identifier) Number 1184607426 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 location address where John W Mcivor's facilities are situated?

The facilities of John W Mcivor are physically located at the following address: 11995 Singletree Ln, Eden Prairie, MN, 553445347.

What is John W Mcivor'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 John W Mcivor is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184607426 to John W Mcivor?

The Centers for Medicare & Medicaid Services originally issued the 1184607426 to John W Mcivor on 2005-11-21.

As of what date were the John W Mcivor's details last updated?

The information pertaining to the John W Mcivor, including its address, specialty, and other details, was most recently updated on 2011-01-19.

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