Individual
JOHN D MISCHKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35762
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300171
MEDICA HEALTH PLANS
—
01
—
10-22-2001
MMSI
—
01
—
1028918
PREFERRED ONE
—
01
—
141074
U-CARE
—
01
—
1451002
ARAZ GROUP/AMERICA'S PPO
—
01
—
2119215
FIRST HEALTH PLAN
—
01
—
58F40MI
BCBS
—
01
—
HP13991
HEALTH PARTNERS
—
Enumeration date
08/11/2005
Last updated
07/08/2007
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