Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 54195 | MN |
N | 207YP0228X | Pediatric Otolaryngology | 54195 | MN |
NPI | 1477696995 |
---|---|
Provider Name | Abby Christine Meyer |
First Address | Minneapolis, MN 55404-1292 |
Second Address | Minneapolis, MN 55404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 25/05/2018 |