Michael L Bristow in Alexandria - Family Medicine

Michael L Bristow - NPI 1134109648

Michael L Bristow is a Family Medicine in Alexandria, Minnesota. Michael L Bristow practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael L Bristow is 1134109648. The last update date is 2018-03-30.

Michael L Bristow's current location address is 610 30th Ave W, Alexandria, Minnesota. You can contact this provider via phone number 3207635123 and fax number 3207637883. The mailing address for Michael L Bristow is 610 30th Ave W, Alexandria, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael L Bristow
Address 610 30th Ave W, Alexandria, Minnesota
Phone Number 3207635123
Fax Number 3207637883
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1134109648
Provider Enumeration Date 2006-01-19
Last Updated Date 2018-03-30

Provider Mailing Address Detail

Address 610 30th Ave W
City Alexandria
State Minnesota (MN)
Post Code 56308
Phone Number 3207635123
Fax Number 3207637883

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 32086
Definition:
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80050444 MN RR MEDICARE
401783800 MN --

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FAQs about Michael L Bristow

What is the unique identifier code issued to Michael L Bristow by the Centers for Medicare & Medicaid Services (CMS)?

The Michael L Bristow has been assigned the NPI (National Provider Identifier) 1134109648. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Michael L Bristow is physically located?

The Michael L Bristow is situated at the following address: 610 30Th Ave W, Alexandria, MN 56308.

What is Michael L Bristow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael L Bristow is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Michael L Bristow receive its 1134109648 assignment from the Centers for Medicare & Medicaid Services?

The Michael L Bristow was assigned its 1134109648 by the Centers for Medicare & Medicaid Services on 2006-01-19.

As of what date were the details pertaining to Michael L Bristow last refreshed?

The information related to the Michael L Bristow, including its address, specialty, and other relevant details, was last updated on 2018-03-30.

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