Michael Ray Bourne in Stillwater - Podiatrist
Michael Ray Bourne - NPI 1164412649
Michael Ray Bourne is a Podiatrist in Stillwater, Minnesota. Michael Ray Bourne practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael Ray Bourne is 1164412649. The last update date is 2021-06-04.
Michael Ray Bourne's current location address is 1500 Curve Crest Blvd W, Stillwater, Minnesota. You can contact this provider via phone number 6514391234 and fax number 6512753325. The mailing address for Michael Ray Bourne is 1500 Curve Crest Blvd W, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Ray Bourne |
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Address | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
Phone Number | 6514391234 |
Fax Number | 6512753325 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1164412649 |
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Provider Enumeration Date | 2005-10-25 |
Last Updated Date | 2021-06-04 |
Provider Mailing Address Detail
Address | 1500 Curve Crest Blvd W |
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City | Stillwater |
State | Minnesota (MN) |
Post Code | 550826040 |
Phone Number | 6514391234 |
Fax Number | 6512753325 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 746 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
164225100 | MN | -- | |
43222300 | WI | -- |
Post Comment/ Review Below
What is the Michael Ray Bourne's 1164412649?
The Michael Ray Bourne's NPI (National Provider Identifier) Number is 1164412649. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael Ray Bourne's physical address?
The Michael Ray Bourne is physically located at 1500 Curve Crest Blvd W, in the city of Stillwater, MN, with the postal code 550826040.
What is Michael Ray Bourne's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Ray Bourne is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date was the 1164412649 assigned to Michael Ray Bourne?
The Michael Ray Bourne was issued its 1164412649 on 2005-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael Ray Bourne, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Ray Bourne, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-04.