Provider Demographics
NPI:1477504876
Name:SKEMP, NEIL MCDEVITT (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:MCDEVITT
Last Name:SKEMP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3001 METRO DR STE 460
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1548
Mailing Address - Country:US
Mailing Address - Phone:651-999-7022
Mailing Address - Fax:651-999-6970
Practice Address - Street 1:3366 OAKDALE AVE N STE 303
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2977
Practice Address - Country:US
Practice Address - Phone:763-520-7700
Practice Address - Fax:833-905-2110
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-04-10
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Provider Licenses
StateLicense IDTaxonomies
MN45619208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1477504876Medicaid