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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31603 | MN | MD | Social Worker |
| 2913 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Mitchell Jonathan Fritz
- Dominic Joseph Gagnon
- Luann Annette Gammon
- Shelby Ann Gawarecki
- Joseph James Gerhartz
- Robert Gonzalez Jr.
- Claire F Grunewald
- John Peter Halfen
- Sonja Anna Hall
- Alex K Harsha Bangura
All providers in Staples, MN · Emergency 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 Mar 31, 2010. 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.