Individual
MARK A MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45804
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0568519
—
IA
01
—
097L1MY
BCBS
MN
01
—
1602454
MEDICA
MN
01
—
171361
UCARE
MN
01
—
2227442
AMERICAS PPO
MN
01
—
41084933956001C202
CHAMPUS
—
05
—
996422300
—
MN
01
—
HP37918
HEALTH PARTNERS
MN
01
—
NA2951022862
PREFERRED ONE
MN
01
—
P00039431
RR MEDICARE
—
Enumeration date
01/10/2006
Last updated
08/09/2011
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