Individual
MICHAEL C JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1421 PREMIERE DR, MANKATO CLINIC AT WICKERSHAM CAMPUS, MANKATO, MN 56001-6076
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
33293
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115544
UCARE
MN
01
—
1900661
MEDICA
MN
01
—
340009844
RR MEDICARE
—
01
—
71333JA
BCBS
MN
01
—
772931
AMERICAS PPO
MN
05
—
851503400
—
MN
05
—
938084
—
IA
01
—
HP25590
HEALTH PARTNERS
MN
01
—
NA2951022168
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/10/2020
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