Mahowald, John M
Mahowald, John M is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mahowald, John M can be contacted via phone (320) 252-5131.Contact Information
Primary practice address
1200 6Th Ave N
Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25694 | Minnesota |
Profile Details
| NPI number | 1952303570 |
|---|---|
| LBN Legal business name | Mahowald, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Oct 12th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952303570 | NPPES |
| Minnesota | MEDICAID | 736805400 |
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