Fraley, Michael W

Fraley, Michael W is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic @ Main Street, Mankato MN 56001-5066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fraley, Michael W can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato Clinic @ Main Street Mankato MN 56001-5066
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38685 Minnesota

Profile Details

NPI number 1730168741
LBN Legal business name Fraley, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 10th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730168741 NPPES
Other 41084933956001C106 CHAMPUS
MEDICAID 990523500 CHAMPUS
Other HP25596 CHAMPUS
Other NA2951023836 CHAMPUS
Other 080089219 CHAMPUS
Other 18A66FR CHAMPUS
Other 764268 CHAMPUS
Other 0103977 CHAMPUS
Other 115588 CHAMPUS

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