Provider Demographics
NPI:1275668956
Name:NEEL, HARRY BRYAN III (MD, PHD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:BRYAN
Last Name:NEEL
Suffix:III
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 8TH ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-6310
Mailing Address - Country:US
Mailing Address - Phone:507-282-0035
Mailing Address - Fax:
Practice Address - Street 1:828 8TH ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-6310
Practice Address - Country:US
Practice Address - Phone:507-282-0035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17984207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology