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Dr. John Michael Neidecker, DO
Family Medicine Physician in Raleigh, North Carolina
NPI 1821289174

John Michael Neidecker is a Family Medicine Physician based in Wake Forest, NC. John Michael Neidecker practices in Raleigh, NC and has the professional credentials of DO. The NPI Number for John Michael Neidecker is 1821289174 and holds a License No. 207Q00000X (North Carolina).

The current practice location address for John Michael Neidecker is 11200 Governor Manly Way Ste 309, Raleigh, NC and can be reached out via phone at 919-562-9410 and via fax at 919-562-2948.

Location: 11200 Governor Manly Way Ste 309, Raleigh, NC, 27588-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821289174
Provider Name
John Michael Neidecker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11200 Governor Manly Way Ste 309, Raleigh, NC, 27588-1107
Phone Number
919-562-9410
Fax Number
919-562-2948
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MB08631900 01 NJ MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
11200 Governor Manly Way Ste 309
City
Raleigh
State
North Carolina
Zip
27614-7375
Phone Number
919-562-9410
Fax Number
919-562-2948
person
Provider Business Mailing Address Details
Address
11200 Governor Manly Way Ste 309
City
Raleigh
State
North Carolina
Zip
27614-7375
Phone Number
919-562-9410
Fax Number
919-562-2948
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
207Q00000X (New Jersey)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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