Dave Mccollum in Waconia - Emergency Medicine

Dave Mccollum - NPI 1154360808

Dave Mccollum is a Emergency Medicine in Waconia, Minnesota. Dave Mccollum practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Dave Mccollum is 1154360808. The last update date is 2007-12-04.

Dave Mccollum's current location address is 500 S Maple St, Waconia, Minnesota. You can contact this provider via phone number 9524422191. The mailing address for Dave Mccollum is 500 S Maple St, Waconia, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Dave Mccollum
Address 500 S Maple St, Waconia, Minnesota
Phone Number 9524422191
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154360808
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-12-04

Provider Mailing Address Detail

Address 500 S Maple St
City Waconia
State Minnesota (MN)
Post Code 553871752
Phone Number 9524422191
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 25697
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0C319MC BCBS
235010 PREFERRED ONE
39-03774 MEDICA EMERG
933800400 MN --
HP13930 HEALTH PARTNERS
106062 UCARE

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FAQs about Dave Mccollum

What is the unique 10-digit identifier code issued to Dave Mccollum by the Centers for Medicare & Medicaid Services?

The Dave Mccollum has been assigned the NPI (National Provider Identifier) 1154360808 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Dave Mccollum's physical address?

The Dave Mccollum is physically located at 500 S Maple St, in the city of Waconia, MN, with the postal code 553871752.

What is Dave Mccollum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Dave Mccollum is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.

On what date did Dave Mccollum receive its 1154360808 assignment from the Centers for Medicare & Medicaid Services?

The Dave Mccollum was assigned its 1154360808 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Dave Mccollum most recently updated or refreshed?

The details pertaining to the Dave Mccollum, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-04.

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