Midway Medical Clinic Steven P. Radjenovich D.O. Llc in Alexandria - Family Medicine

Midway Medical Clinic Steven P. Radjenovich D.O. Llc - NPI 1184610974

Midway Medical Clinic Steven P. Radjenovich D.O. Llc is a Family Medicine in Alexandria, Minnesota. Midway Medical Clinic Steven P. Radjenovich D.O. Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Midway Medical Clinic Steven P. Radjenovich D.O. Llc is 1184610974. The last update date is 2013-01-31.

Midway Medical Clinic Steven P. Radjenovich D.O. Llc's current location address is 119 30th Ave W, Alexandria, Minnesota. You can contact this provider via phone number 3207636452 and fax number 3207632971. The mailing address for Midway Medical Clinic Steven P. Radjenovich D.O. Llc is 119 30th Ave W, Alexandria, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Midway Medical Clinic Steven P. Radjenovich D.O. Llc
Address 119 30th Ave W, Alexandria, Minnesota
Phone Number 3207636452
Fax Number 3207632971
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Radjenovich Perl Steven
Credentials D.O.
Telephone Number 3207636452

NPI Number Detail

NPI Number 1184610974
Provider Enumeration Date 2005-09-27
Last Updated Date 2013-01-31

Provider Mailing Address Detail

Address 119 30th Ave W
City Alexandria
State Minnesota (MN)
Post Code 563083433
Phone Number 3207636452
Fax Number 3207632971

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 22233
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
449883600 MN --

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FAQs about Midway Medical Clinic Steven P. Radjenovich D.O. Llc

What is the unique 10-digit identifier code assigned to Midway Medical Clinic Steven P. Radjenovich D.O. Llc by the Centers for Medicare & Medicaid Services?

The Midway Medical Clinic Steven P. Radjenovich D.O. Llc has been issued the NPI (National Provider Identifier) 1184610974 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Midway Medical Clinic Steven P. Radjenovich D.O. Llc located?

The Midway Medical Clinic Steven P. Radjenovich D.O. Llc is located at 119 30Th Ave W, Alexandria, MN 563083433.

What is Midway Medical Clinic Steven P. Radjenovich D.O. Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Midway Medical Clinic Steven P. Radjenovich D.O. Llc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184610974 to Midway Medical Clinic Steven P. Radjenovich D.O. Llc?

The Centers for Medicare & Medicaid Services assigned the 1184610974 to Midway Medical Clinic Steven P. Radjenovich D.O. Llc on 2005-09-27.

As of what date was the information pertaining to Midway Medical Clinic Steven P. Radjenovich D.O. Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Midway Medical Clinic Steven P. Radjenovich D.O. Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-31.

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