Individual
MICHAEL W FRALEY
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 56001-5066
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38685
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103977
MEDICA
MN
01
—
080089219
RR MEDICARE
—
01
—
115588
UCARE
MN
01
—
18A66FR
BCBS
MN
01
—
41084933956001C106
CHAMPUS
—
01
—
764268
AMERICAS PPO
MN
05
—
990523500
—
MN
01
—
HP25596
HEALTH PARTNERS
MN
01
—
NA2951023836
PREFFERED ONE
MN
Enumeration date
01/10/2006
Last updated
07/10/2020
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