Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 27939 | MN |
Y | 111NI0900X | Internist | 27939 | MN |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 27939 | MN |
NPI | 1083636617 |
---|---|
Provider Name | Dr. Brian Joseph Neil |
First Address | Minneapolis, MN 55417-2309 |
Second Address | Minneapolis, MN 55417-2309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 13/07/2007 |