Individual
DR. MICHAEL GORDON FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 S 5TH ST, MANKATO, MN 56001-4588
(507) 304-4071
Mailing address
PO BOX 818, KAMUELA, HI 96743-0818
(808) 885-5900
(808) 885-6900
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
29686
MN
2084P0800X
Psychiatry Physician
Primary
29686
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133085300
—
MN
Enumeration date
11/30/2005
Last updated
02/05/2021
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