Individual
MICHAEL PATRICK MCCARTHY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
(320) 864-7887
Mailing address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
(320) 864-7887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26984
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106599
—
MN
Enumeration date
11/10/2005
Last updated
07/08/2007
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