| Doctor Name: | MR. RANDALL JOSEPH NEELAND |
| NPI Number: | 1932569910 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, RN |
| License Number: | 4704174295 |
| Business Practice Address: | 7846 Barney Rd Alanson, MI - 497069707 |
| Business Phone Number: | 2313733200 |
| Business Fax Number: | |
| Mailing Address: | 7846 Barney Road, ALANSON |
| State: | MI |
| Postal Code: | 497067907 |
| Phone Number: | 9893304423 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2016 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 4704174295 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |