Individual provider · Type 1 NPI

John Michael Neidecker, DO

Family Medicine Physician · Raleigh, NC

NPI number 1821289174 Active

Practice location

11200 Governor Manly Way Ste 309
Raleigh, NC 27614-7375

Call (919) 562-9410 Map

Fax (919) 562-2948

Mailing address

PO Box 1107
Wake Forest, NC 27588-1107

Other practice locations

  • 200 W Parkview Dr Ste B, Henderson, NC 27536-5958 · (919) 562-9410
  • 103 Professional Park Ste A, Oxford, NC 27565-2581 · (919) 562-9410
  • 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 · (919) 562-9410
  • 6602 Knightdale Blvd Ste 310, Knightdale, NC 27545-6526 · (919) 562-9410

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X207Q00000X (NJ)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19 other providers at this address

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About NPI 1821289174

John Michael Neidecker, DO's National Provider Identifier is 1821289174, issued on Aug 1, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 17, 2018.