Organization
MICHAEL MAHONEY INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH HORVATICH (DIRECTOR OF OPS)
(402) 614-4969
Entity
Organization
Contact information
Practice address
3409 45TH ST S STE 106, FARGO, ND 58104-8970
(701) 354-7479
Mailing address
2255 S 132ND ST STE 100, OMAHA, NE 68144-2573
(402) 614-4969
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
05/03/2021
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