Individual
MICHAEL R MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-8526
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M-12480
ID
207L00000X
Anesthesiology Physician
R71475
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M-12480
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01021805
RAILROAD MEDICARE
MN
Enumeration date
02/23/2010
Last updated
02/09/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us