Individual provider · NPI-1

Dr. Neal C Buddensiek

Internal Medicine · White Bear Lake, MN

NPI number1487685236
StatusActive
Last updated in NPPESJan 30, 2026

Details

NPI
1487685236
Entity type
Individual (NPI-1)
Name
Dr. Neal C Buddensiek
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 6, 2006
Certification date
Jan 30, 2026
Last updated
Jan 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine46680MNYes
207R00000X Internal Medicine15036ND

Practice location

1824 Buerkle Rd
White Bear Lake, MN 55110-5245

Phone 651-964-1220

Mailing address

1915 Highway 36 W
Roseville, MN 55113-2709

Phone 651-295-8844 · Fax 651-389-9425

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