| Michael Mahoney Internal Medicine, Inc. | |
|
3409 45th St S Ste 106 Fargo ND 58104-8970 | |
| (701) 354-7479 | |
| Not Available |
| Full Name | Michael Mahoney Internal Medicine, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 3409 45th St S Ste 106, Fargo, North Dakota |
| Authorized Official Name and Position | Beth Horvatich (DIRECTOR OF OPS) |
| Authorized Official Contact | 4026144969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mahoney Internal Medicine, Inc. 2255 S 132nd St Ste 100 Omaha NE 68144-2573 Ph: (402) 614-4969 | Michael Mahoney Internal Medicine, Inc. 3409 45th St S Ste 106 Fargo ND 58104-8970 Ph: (701) 354-7479 |
| NPI Number | 1366035420 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366035420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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