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NPI Code Detail

MEDICARE: MICHAEL E MACHEN MD

MEDICARE: MICHAEL E MACHEN MD
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
1207Q00000XFamily Medicine Physician21343KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1102119OTHERKSBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336186196
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL E MACHEN MD
Provider Business Mailing Address
First Line : 501 GARFIELD ST
Second Line :
City : QUINTER
State : KS
Zip : 67752-9795
Country : US
Telephone Number : 785-754-3333
Fax Number : 785-754-2335
Provider Business Practice Location Address
First Line : 501 GARFIELD ST
Second Line :
City : QUINTER
State : KS
Zip : 67752-9795
Country : US
Telephone Number : 785-754-3333
Fax Number : 785-754-2335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 12/22/2011

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