Individual
JANET ELAINE MACHELEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
400 EAST THIRD STREET, MCL2CRED, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
H1983
TX
207RX0202X
Medical Oncology Physician
Primary
14418
ND
207RX0202X
Medical Oncology Physician
H1983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134295801
—
TX
05
—
134295802
—
TX
01
—
134295803
CSHCN
TX
05
—
134295804
—
TX
05
—
134295806
—
TX
05
—
134295808
—
TN
05
—
134295809
—
TX
05
—
134295810
—
TX
05
—
134295811
—
TX
05
—
134295812
—
TX
05
—
134295814
—
TX
01
—
1376585281
BLUE CROSS BLUE SHIELD
TX
01
—
8R1495
BLUE CROSS OF TX
TX
01
—
P01086535
RR MEDICARE
TX
Enumeration date
06/12/2006
Last updated
12/19/2018
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