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Individual

MICHAEL B RATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1809 ADAMS ST, MANKATO CLINIC @ ADAMS STREET, MANKATO, MN 56001-4841
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674 MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22937
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101172
MEDICA
MN
01
080068439
RR MEDICARE
01
120210
UCARE
MN
01
1694592
AMERICAS PPO
MN
01
18149RA
BCBS
MN
05
238287300
MN
01
41084933956001C036
CHAMPUS
05
938357
IA
01
HP25865
HEALTH PARTNERS
MN
01
NA2951023857
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
08/11/2011
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