Jennifer Kathleen Mahling-Stadum in Brainerd - Family Medicine
Jennifer Kathleen Mahling-Stadum - NPI 1790761187
Jennifer Kathleen Mahling-Stadum is a Family Medicine in Brainerd, Minnesota. Jennifer Kathleen Mahling-Stadum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer Kathleen Mahling-Stadum is 1790761187. The last update date is 2016-01-08.
Jennifer Kathleen Mahling-Stadum's current location address is 523 N 3rd St, Brainerd, Minnesota. You can contact this provider via phone number 2188292861. The mailing address for Jennifer Kathleen Mahling-Stadum is 523 N 3rd St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Kathleen Mahling-Stadum |
|---|---|
| Address | 523 N 3rd St, Brainerd, Minnesota |
| Phone Number | 2188292861 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790761187 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2016-01-08 |
Provider Mailing Address Detail
| Address | 523 N 3rd St |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564013054 |
| Phone Number | 2188292861 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 46787 |
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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 |
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What is the unique 10-digit identification code assigned to Jennifer Kathleen Mahling-Stadum by the Centers for Medicare & Medicaid Services?
The Jennifer Kathleen Mahling-Stadum has been issued the NPI (National Provider Identifier) 1790761187, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jennifer Kathleen Mahling-Stadum is physically located?
The Jennifer Kathleen Mahling-Stadum is physically situated at the following address: 523 N 3Rd St, Brainerd, MN, 564013054.
What is the Jennifer Kathleen Mahling-Stadum's specialty and taxonomy code?
The Jennifer Kathleen Mahling-Stadum's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Jennifer Kathleen Mahling-Stadum receive its 1790761187 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Kathleen Mahling-Stadum was assigned its 1790761187 by the Centers for Medicare & Medicaid Services on 2005-12-19.
When was the Jennifer Kathleen Mahling-Stadum's information last updated?
The Jennifer Kathleen Mahling-Stadum's information was last updated on 2016-01-08.