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Contact Information

JOHN F O'LEARY MD PA
2545 CHICAGO AVE
SUITE 510
MINNEAPOLIS, MN55404-4522
 Phone: 952-285-6879
 Fax: 952-285-6890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN F O'LEARY MD PA

NPI # 1497874754
LBN Legal business name JOHN F O'LEARY MD PA
Authorized official JYL DINVILLE - (PHYSICIAN REIMBURSEMENT SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 03/04/2008 - About 18 years ago
Identifiers
MN License # 24502
WI Medicaid 30712800
MN Other 00949-OL BCBS GROUP #
MN Other 3D011OL BCBS PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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