Mary Kathleen Mctigue in Bloomington - Mohs-micrographic Surgery

Mary Kathleen Mctigue - NPI 1578567343

Mary Kathleen Mctigue is a Mohs-micrographic Surgery in Bloomington, Indiana. Mary Kathleen Mctigue practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Mary Kathleen Mctigue is 1578567343. The last update date is 2023-05-19.

Mary Kathleen Mctigue's current location address is 1200 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123396434 and fax number 8123310196. The mailing address for Mary Kathleen Mctigue is 1200 S Rogers St, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Kathleen Mctigue
Address 1200 S Rogers St, Bloomington, Indiana
Phone Number 8123396434
Fax Number 8123310196
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1578567343
Provider Enumeration Date 2005-06-09
Last Updated Date 2023-05-19

Provider Mailing Address Detail

Address 1200 S Rogers St
City Bloomington
State Indiana (IN)
Post Code 4740347920
Phone Number 8123396434
Fax Number 8123310196

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No 01039092A
Definition:
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100345180 IN --

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FAQs about Mary Kathleen Mctigue

What is the Mary Kathleen Mctigue's unique identification number?

The Mary Kathleen Mctigue has been assigned the NPI (National Provider Identifier) Number 1578567343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Mary Kathleen Mctigue's facilities are geographically located?

The facilities of Mary Kathleen Mctigue are physically situated at the following location: 1200 S Rogers St, Bloomington, IN, 4740347920.

What is Mary Kathleen Mctigue's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Kathleen Mctigue is Mohs-micrographic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Nd0101X.

On what date did the Mary Kathleen Mctigue receive the assignment of its 1578567343 from the Centers for Medicare & Medicaid Services?

The Mary Kathleen Mctigue was issued its 1578567343 by the Centers for Medicare & Medicaid Services on 2005-06-09.

As of what date were the Mary Kathleen Mctigue's details last updated?

The information pertaining to the Mary Kathleen Mctigue, including its address, specialty, and other details, was most recently updated on 2023-05-19.

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