Individual
DR. MICHAEL FATIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
600 REED ST, SUITE 115, MANKATO, MN 56001-6410
(507) 625-4060
(507) 625-3915
Mailing address
600 REED ST, SUITE 115, MANKATO, MN 56001-6410
(507) 625-4060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0138
MN
Other
Enumeration date
05/12/2006
Last updated
07/09/2007
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