Jeffrey Lee Mich in Coon Rapids - Foot Surgery

Jeffrey Lee Mich - NPI 1912908435

Jeffrey Lee Mich is a Foot Surgery in Coon Rapids, Minnesota. Jeffrey Lee Mich practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Jeffrey Lee Mich is 1912908435. The last update date is 2018-03-17.

Jeffrey Lee Mich's current location address is 3790 117th Ln Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7634217300 and fax number 7634213337. The mailing address for Jeffrey Lee Mich is 3790 117th Ln Nw, Coon Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Lee Mich
Address 3790 117th Ln Nw, Coon Rapids, Minnesota
Phone Number 7634217300
Fax Number 7634213337
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1912908435
Provider Enumeration Date 2005-08-09
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 3790 117th Ln Nw
City Coon Rapids
State Minnesota (MN)
Post Code 554332666
Phone Number 7634217300
Fax Number 7634213337

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 620
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33942 MN HEALTH PARTNERS
27D36MI MN BLUE CROSS BLUE SHIELD
867912600 MN --
2700167 MN MEDICA
140086 MN UCARE

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FAQs about Jeffrey Lee Mich

What is the unique identifier code issued to Jeffrey Lee Mich by the Centers for Medicare & Medicaid Services?

The Jeffrey Lee Mich has been assigned the NPI (National Provider Identifier) 1912908435. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeffrey Lee Mich is physically located?

The Jeffrey Lee Mich is situated at the following address: 3790 117Th Ln Nw, Coon Rapids, MN 554332666.

What is Jeffrey Lee Mich's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeffrey Lee Mich's area of specialization is Foot Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0131X.

On what date was the 1912908435 assigned to Jeffrey Lee Mich?

The Jeffrey Lee Mich was issued its 1912908435 on 2005-08-09, 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 Jeffrey Lee Mich, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffrey Lee Mich, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.

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