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DR. JOHN W TULLOCH M.D. NPI 1255310595


NPI Information

NPI: 1255310595
Provider Name: DR. JOHN W TULLOCH, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
420 DELAWARE ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-5152
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DR. John W Tulloch, M.D. is a neurology psychiatry neurology in Minneapolis, MN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. John W Tulloch, M.D. NPI is 1255310595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 DELAWARE ST SE
MINNEAPOLIS, MN
ZIP 55455-341
Phone: (612) 625-5152
Fax: (612) 625-7950

The NPI 1255310595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 4/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine22267MINNESOTANo
22084N0400XPsychiatry & NeurologyNeurology29767WISCONSINNo
32084N0600XPsychiatry & NeurologyClinical Neurophysiology22267MINNESOTANo
42084N0600XPsychiatry & NeurologyClinical Neurophysiology29767WISCONSINNo
52084N0400XPsychiatry & NeurologyNeurology22267MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D81510MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.