Provider Demographics
NPI:1033109780
Name:NESS, DAVID ALAN (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:NESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:721 SNELLING AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2228
Mailing Address - Country:US
Mailing Address - Phone:651-690-1311
Mailing Address - Fax:651-690-2447
Practice Address - Street 1:721 SNELLING AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2228
Practice Address - Country:US
Practice Address - Phone:651-690-1311
Practice Address - Fax:651-690-2447
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2009-12-11
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Provider Licenses
StateLicense IDTaxonomies
MN25465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN668262600Medicaid
MN668262600Medicaid
MNA93709Medicare UPIN