Vanvalkenburg, Michael J

Vanvalkenburg, Michael J is an individual health care provider with primary practice located at 712 South Cascade Street , Fergus Falls MN 56537-2813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Vanvalkenburg, Michael J can be contacted via phone (218) 736-8000.

Contact Information

Primary practice address
712 South Cascade Street Fergus Falls MN 56537-2813
Phone: (218) 736-8000
Fax: (218) 736-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28834 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28834 Minnesota

Profile Details

NPI number 1437231750
LBN Legal business name Vanvalkenburg, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 10th, 2010 - about 16 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 1437231750 NPPES
Washington Other 185845 WASHINGTONDEPTOF LABOR&IN
Washington MEDICAID 41091744413 WASHINGTONDEPTOF LABOR&IN
Washington Other 01-05558 WASHINGTONDEPTOF LABOR&IN
Washington Other 127860 WASHINGTONDEPTOF LABOR&IN
Washington MEDICAID 1476657 WASHINGTONDEPTOF LABOR&IN
Washington MEDICAID 224008400 WASHINGTONDEPTOF LABOR&IN
Washington Other 1015599 WASHINGTONDEPTOF LABOR&IN
Washington MEDICAID 13700 WASHINGTONDEPTOF LABOR&IN
Washington MEDICAID 7615483 WASHINGTONDEPTOF LABOR&IN
Washington MEDICAID 0558460 WASHINGTONDEPTOF LABOR&IN
Washington Other 89D04VA WASHINGTONDEPTOF LABOR&IN

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