Micheal Ginder, MD

Individual provider Active NPI Emergency Medicine Physician · Staples, MN

NPI 1992706709 · NPPES record last updated Mar 31, 2010

Key facts

NPI
1992706709
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
31603 (MN)
Practice address
49725 County 83
Staples, MN 56479-5280
Phone
(218) 894-8459
Fax
(218) 894-8609
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
31603MNMDSocial Worker
2913WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 31603 MN Yes

Addresses

Primary practice location

49725 County 83
Staples, MN 56479-5280

Mailing address

49725 County 83
Staples, MN 56479-5280
Phone (218) 894-8459

Other providers in Staples, MN

All providers in Staples, MN · Emergency Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.