Individual
KATHRYN A MECHELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4917
(320) 229-5181
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4917
(320) 229-5181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107722
MEDICA HEALTH PLANS
—
01
—
083483100
MEDICAL ASSISTANCE
—
01
—
1027779
PREFERRED ONE
—
01
—
1328113
ARAZ GROUP/AMERICA'S PPO
—
01
—
140249
U-CARE
—
01
—
2114101
FIRST HEALTH PLAN
—
01
—
49F16ME
BLUE CROSS BLUE SHIELD
—
01
—
HP33397
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
11/28/2011
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