Mary S Michener is a Family Medicine in Winona, Minnesota. Mary S Michener practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary S Michener is 1124038724. The last update date is 2011-12-13.
Mary S Michener's current location address is 859 Mankato Avenue, Winona, Minnesota. You can contact this provider via phone number 5074543680 and fax number 5074577672. The mailing address for Mary S Michener is 859 Mankato Avenue, Winona, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary S Michener |
|---|---|
| Address | 859 Mankato Avenue, Winona, Minnesota |
| Phone Number | 5074543680 |
| Fax Number | 5074577672 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124038724 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2011-12-13 |
Provider Mailing Address Detail
| Address | 859 Mankato Avenue |
|---|---|
| City | Winona |
| State | Minnesota (MN) |
| Post Code | 55987 |
| Phone Number | 5074543680 |
| Fax Number | 5074577672 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 38452 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 636227300 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary S Michener by the Centers for Medicare & Medicaid Services (CMS)?
The Mary S Michener has been assigned the NPI (National Provider Identifier) 1124038724. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mary S Michener?
The Mary S Michener is physically situated at 859 Mankato Avenue, in the city of Winona, state of MN, with the postal code 55987.
What is the Mary S Michener's area of specialization and corresponding taxonomy classification?
The Mary S Michener's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mary S Michener receive its 1124038724 assignment from the Centers for Medicare & Medicaid Services?
The Mary S Michener was assigned its 1124038724 by the Centers for Medicare & Medicaid Services on 2006-08-08.
As of what date were the details related to Mary S Michener most recently updated or revised?
The information pertaining to Mary S Michener, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-13.