Provider Demographics
NPI:1750483509
Name:MEEKINS, GREGG DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:DAVID
Last Name:MEEKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:NEURO (127)
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-2047
Mailing Address - Fax:612-467-5693
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:NEURO (127)
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-2047
Practice Address - Fax:612-467-5693
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000352022084N0400X
MN1059062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2132Medicare UPIN