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Individual
DR. MICHAEL EDWARD NEUDECKER
Active
Individual
DR. MICHAEL EDWARD NEUDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103874
MEDICA
—
01
—
112332C736
UCARE MINNEOSTA
MN
01
—
21629
AMERICA'S PPO
—
01
—
54682NE
BCBS OF MINNESOTA
MN
05
—
757703600
—
MN
01
—
A011
TRICARE
MN
01
—
HP11117
HEALTH PARTNERS
—
01
—
NA9230454511
PREFERRED ONE
—
Enumeration date
07/07/2006
Last updated
11/07/2012
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