MEDICARE: DR. MICHAEL ANDREW MCFARLAND D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5973-015	WI

General Provider Information

NPI Number	:	1063632941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANDREW MCFARLAND D.D.S.

Provider Business Mailing Address
First Line	:	420 N MAIN ST
Second Line	:
City	:	RIVER FALLS
State	:	WI
Zip	:	54022-2345
Country	:	US
Telephone Number	:	715-425-8233
Fax Number	:	715-425-7389

Provider Business Practice Location Address
First Line	:	420 N MAIN ST
Second Line	:
City	:	RIVER FALLS
State	:	WI
Zip	:	54022-2345
Country	:	US
Telephone Number	:	715-425-8233
Fax Number	:	715-425-7389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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