Provider Demographics
NPI:1568532653
Name:MCGREEVY, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:MCGREEVY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1655 BEAM AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1163
Mailing Address - Country:US
Mailing Address - Phone:651-227-6351
Mailing Address - Fax:651-227-1134
Practice Address - Street 1:1655 BEAM AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1163
Practice Address - Country:US
Practice Address - Phone:651-227-6351
Practice Address - Fax:651-227-1134
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-03-27
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Provider Licenses
StateLicense IDTaxonomies
MN50064208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP00452320OtherRAILROAD MEDICARE