# MICHAEL MAHONEY INTERNAL MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366035420
- **Authorized official:** BETH HORVATICH (DIRECTOR OF OPS)
- **Authorized official phone:** (402) 614-4969

## Contact information

- **Practice address:** 3409 45TH ST S STE 106, FARGO, ND 58104-8970
- **Practice address phone:** (701) 354-7479
- **Mailing address:** 2255 S 132ND ST STE 100, OMAHA, NE 68144-2573
- **Mailing address phone:** (402) 614-4969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2021
- **Last updated:** 05/03/2021