Michael Clifford Tchida in Fridley - Physician Assistant
Michael Clifford Tchida - NPI 1265416432
Michael Clifford Tchida is a Physician Assistant in Fridley, Minnesota. Michael Clifford Tchida practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Clifford Tchida is 1265416432. The last update date is 2007-07-08.
Michael Clifford Tchida's current location address is 7675 Madison St Ne, Fridley, Minnesota. You can contact this provider via phone number 7637854500 and fax number 7637853314. The mailing address for Michael Clifford Tchida is 7675 Madison St Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Clifford Tchida |
|---|---|
| Address | 7675 Madison St Ne, Fridley, Minnesota |
| Phone Number | 7637854500 |
| Fax Number | 7637853314 |
| Sole Proprietor | X |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1265416432 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7675 Madison St Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554322753 |
| Phone Number | 7637854500 |
| Fax Number | 7637853314 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8865 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Michael Clifford Tchida by the Centers for Medicare & Medicaid Services?
The Michael Clifford Tchida has been assigned the NPI (National Provider Identifier) 1265416432. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michael Clifford Tchida's facilities are situated?
The facilities of Michael Clifford Tchida are physically located at the following address: 7675 Madison St Ne, Fridley, MN, 554322753.
What is Michael Clifford Tchida's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Clifford Tchida is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265416432 to Michael Clifford Tchida?
The Centers for Medicare & Medicaid Services originally issued the 1265416432 to Michael Clifford Tchida on 2005-12-01.
As of what date were the Michael Clifford Tchida's details last updated?
The information pertaining to the Michael Clifford Tchida, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH