Individual
JUSTIN T CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301111066
MI
208000000X
Pediatrics Physician
Primary
48867
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012-0006861
MEDICA
MN
05
—
010437100
—
MN
01
—
1033135298
PRIMEWEST HEALTHCARE
MN
01
—
1203709
MEDICA #
MN
01
—
135595
UCARE #
MN
05
—
13904
—
MN
01
—
27253
NDBCBS #
MN
01
—
623E1CO
MN BCBS #
MN
01
—
HP69889
HEALTHPARTNERS #
MN
Enumeration date
07/14/2006
Last updated
10/27/2016
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