Unknown Individual – Family Medicine Physician, NPI 1346216017

Unknown Individual is a healthcare provider. based in Marshall, Minnesota. specializing in Family Medicine Physician. They hold a License No. 40156 (MN). The NPI Number for Unknown Individual is 1346216017

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346216017
Phone
(507) 532-9631
Address
1420 EAST COLLEGE DRIVE
Deactivation Date
25 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
2365490349
Group Practice PAC ID
5799695227
Professional Enrollment ID
I20050106000246
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Christopher & Banks, 1420, East College Drive, Marshall, Lyon County, Minnesota, 56258, United States

    MARSHALL, MN 56258

    Phone: (507) 532-9631

    Fax: (507) 532-1176

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56258)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN90670Pneumococcal vaccine for injection into muscle8282

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799695227View full group profile
NameSpecialtyState
U R O L O G YIA
Physical Therapist In Private PracticeMN
-MN
-ND
Certified Registered Nurse Anesthetist (Crna)MN
-AZ
Physical Therapist In Private PracticeMN
Nurse PractitionerSD
Certified Registered Nurse Anesthetist (Crna)IA
Diagnostic RadiologySD

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1346216017 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Marshall, Minnesota?
If you are local to Marshall, Minnesota, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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