Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 56317 | MN |
N | 207P00000X | Emergency Physician | 60782-20 | WI |
NPI | 1003128992 |
---|---|
Provider Name | Rebecca Lynn Meyer |
First Address | Bloomington, MN 55435-5435 |
Second Address | Bloomington, MN 55435-5435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 27/02/2020 |