Individual
MICHAEL J VANVALKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28834
MN
207Q00000X
Family Medicine Physician
28834
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-05558
MEDICA
MN
05
—
0558460
—
IA
01
—
1015599
PREFERREDONE
MN
01
—
127860
UCAREMN
MN
05
—
13700
—
ND
05
—
1476657
—
TX
01
—
185845
WASHINGTONDEPTOF LABOR&IN
WA
05
—
224008400
—
MN
05
—
41091744413
—
NE
05
—
7615483
—
NC
01
—
89D04VA
HP30552
MN
Enumeration date
10/19/2006
Last updated
07/10/2010
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