Mich, Jeffrey Lee

Mich, Jeffrey Lee is an individual health care provider with primary practice located at 3790 117Th Ln Nw , Coon Rapids MN 55433-2666. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Mich, Jeffrey Lee can be contacted via phone (763) 421-7300.

Contact Information

Primary practice address
3790 117Th Ln Nw Coon Rapids MN 55433-2666
Phone: (763) 421-7300
Fax: (763) 421-3337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 620 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 620 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 620 Minnesota

Profile Details

NPI number 1912908435
LBN Legal business name Mich, Jeffrey Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 17th, 2018 - 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 1912908435 NPPES
Minnesota Other 33942 HEALTH PARTNERS
Minnesota Other 27D36MI HEALTH PARTNERS
Minnesota MEDICAID 867912600 HEALTH PARTNERS
Minnesota Other 2700167 HEALTH PARTNERS
Minnesota Other 140086 HEALTH PARTNERS

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