NPI 1366035420

Michael Mahoney Internal Medicine, INC.

Organisation General Practice Physician Fargo, ND

Practice location

Address: 3409 45th St S STE 106, Fargo, ND 58104-8970
Phone: (701) 354-7479
Mailing address: 2255 S 132nd St STE 100, Omaha, NE 68144-2573

Authorised official

Name: Beth Horvatich
Title: Director of Ops
Phone: (402) 614-4969

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in North Dakota →

Registry record

NPI: 1366035420
Entity type: Organization
NPI issued: 18 Feb 2021
Record last updated: 3 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.