Farnsworth, Michael Gordon

Farnsworth, Michael Gordon is an individual health care provider with primary practice located at 410 S 5Th St , Mankato MN 56001-4588. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Farnsworth, Michael Gordon can be contacted via phone (507) 304-4071.

Contact Information

Primary practice address
410 S 5Th St Mankato MN 56001-4588
Phone: (507) 304-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 29686 Minnesota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 29686 Minnesota

Profile Details

NPI number 1932183274
LBN Legal business name Farnsworth, Michael Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Feb 5th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932183274 NPPES
Minnesota MEDICAID 133085300

Popular Providers