Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 61446 | MN |
N | 207P00000X | Emergency Physician | ME119337 | FL |
NPI | 1003194085 |
---|---|
Provider Name | Daniel Gregory Falvey |
First Address | Minnetonka, MN 55343-7983 |
Second Address | Minnetonka, MN 55343-7983 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2011 |
Last Update Date | 28/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0119255-00 | (05) | FL |
1003194085 | (05) | MN |
14UL9 | BCBS FL (01) | FL |