Michael J Laroque, MD
Individual provider Active NPI Family Medicine Physician · Ogema, MN
NPI 1063528883 · NPPES record last updated Feb 1, 2012
Key facts
- NPI
- 1063528883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 7952 (ND)
- Practice address
- 40520 County Highway 34
Ogema, MN 56569-9612 - Phone
- (218) 983-4300
- Fax
- (218) 983-6394
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7952 | ND | Yes |
Addresses
Primary practice location
40520 County Highway 34
Ogema, MN 56569-9612
Mailing address
40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2854 | Medicaid | AK |
Other providers in Ogema, MN
- Melissa Louise Keezer
- Catherine M Kempner
- Roger Stanley Kilbourn
- Austin Klapperich
- Renee Lafriniere
- Gregory Larson
- Cody James Leff
- Nicholas Lehnertz
- Melissa McGuinness
- Michelle M Mehta
All providers in Ogema, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.