Individual
DR. MICHAEL D ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 PHALEN BLVD - MS 41102D, HEALTHPARTNERS SPECIALTY CENTER 401, ST. PAUL, MN 55130-5302
(651) 254-7670
(651) 254-7676
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-7670
(651) 254-7676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40442
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
40442
MN
207RP1001X
Pulmonary Disease Physician
Primary
40442
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
40442
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149383
—
MT
05
—
0714345
—
IA
01
—
1019748
PREFERRED ONE
MN
01
—
151468
UCARE
MN
05
—
293027700
—
MN
05
—
34365000
—
WI
01
—
41-00006
MEDICA PRIMARY
MN
01
—
48-00478
MEDICA CHOICE
MN
01
—
707T3AL
BCBS
MN
01
—
824483
ARAZ
MN
01
—
B700
CHAMPUS/TRIWEST
MN
01
—
HP27672
HEALTHPARTNERS
MN
01
—
P00292274
RAILROAD MEDICARE
—
Enumeration date
06/15/2006
Last updated
01/24/2014
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