Patrick Earl Mcdonough in St. Croix Falls - Sports Medicine
Patrick Earl Mcdonough - NPI 1225151558
Patrick Earl Mcdonough is a Sports Medicine in St. Croix Falls, Wisconsin. Patrick Earl Mcdonough practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Patrick Earl Mcdonough is 1225151558. The last update date is 2021-01-15.
Patrick Earl Mcdonough's current location address is 235 State Street, St. Croix Falls, Wisconsin. You can contact this provider via phone number 7154833221 and fax number 7154830507. The mailing address for Patrick Earl Mcdonough is 235 State Street, St. Croix Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick Earl Mcdonough |
|---|---|
| Address | 235 State Street, St. Croix Falls, Wisconsin |
| Phone Number | 7154833221 |
| Fax Number | 7154830507 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225151558 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2021-01-15 |
Provider Mailing Address Detail
| Address | 235 State Street |
|---|---|
| City | St. Croix Falls |
| State | Wisconsin (WI) |
| Post Code | 54024 |
| Phone Number | 7154833221 |
| Fax Number | 7154830507 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 50910 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1225151558 | WI | -- | |
| 1225151558 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Patrick Earl Mcdonough by the Centers for Medicare & Medicaid Services?
The Patrick Earl Mcdonough has been issued the NPI (National Provider Identifier) 1225151558 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Patrick Earl Mcdonough?
The Patrick Earl Mcdonough is situated at 235 State Street, in the city of St. Croix Falls, state of WI, with the zip code 54024.
What is Patrick Earl Mcdonough's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Patrick Earl Mcdonough is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225151558 to Patrick Earl Mcdonough?
The Centers for Medicare & Medicaid Services originally issued the 1225151558 to Patrick Earl Mcdonough on 2007-04-10.
As of what date were the details related to Patrick Earl Mcdonough most recently updated or revised?
The information pertaining to Patrick Earl Mcdonough, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-15.
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