MICHELLE C MIRAU (NPI# 1073714408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073714408 |
| Entity Type | Individual |
| Full Name | MICHELLE C MIRAU |
| Credential | MD |
| Practice Address |
610 30th Avenue West Alexandria Clinic Pa Alexandria MN 56308 |
| Practice Telephone | 3207635123 |
| Practice Fax Number | 3207637883 |
| Mailing Telephone | 3207635123 |
| Mailing Fax Number | 3207637883 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 49573 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENSE | 49573 | 01 |
| Street Address |
610 30TH AVENUE WEST ALEXANDRIA CLINIC PA |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063492932 | Brian D Carlsen | Pediatrics | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-18 |
| 1255521548 | Chillon A Mckibbin | Advanced Practice Midwife | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2007-08-01 |
| 1083744965 | Isam M Alakhras | Internal Medicine | 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 | 2007-03-07 |
| 1376681312 | Tara L Paschka | Dietitian, Registered | 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 | 2007-02-02 |
| 1982684395 | John W Emblom | Internal Medicine | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-20 |
| 1265412662 | Susan D Paulson | Family Medicine | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-20 |
| 1437139839 | Gary L Paulson | Surgery | 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 | 2006-01-20 |
| 1174503023 | Jean K Fahey | Pediatrics | 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639412059 | Patrick Layne Tassin | Obstetrics & Gynecology | 3304 Masonic Dr Ste 4001, Alexandria, LA 71301-4255 | 2013-04-03 |
| 1518234947 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3329 Duke St, Alexandria, VA 22314-4597 | 2011-11-30 |
| 1073890919 | Rabie Clinic for Women | Obstetrics & Gynecology | 404 Sixth Street, Alexandria, LA 71301 | 2011-11-07 |
| 1962727958 | Armin Susan Razavi | Obstetrics & Gynecology | 5420 Castle Bar Ln, Alexandria, VA 22315 | 2010-04-01 |
| 1093938417 | Chenita Marie Landry | Obstetrics & Gynecology | 6105 Bayou Crossing Dr, Alexandria, LA 71303-7003 | 2007-04-11 |
| 1629195516 | Gina C Hibshman | Obstetrics & Gynecology | 6355 Walker Ln Ste 508, Alexandria, VA 22310-3251 | 2007-03-23 |
| 1427181379 | H Evangeline Tomlinson Md PC | Obstetrics & Gynecology | 4921 Seminary Road, Suite 107, Alexandria, VA 22311-1803 | 2007-03-13 |
| 1548337975 | Marc Anthony Hester | Obstetrics & Gynecology | 6515 Wayside Pl, Alexandria, VA 22310-2865 | 2006-11-29 |
| 1750467692 | Cheryl Ann Ferrier | Obstetrics & Gynecology | 3131 Mount Vernon Ave, 4a/b, Alexandria, VA 22305-2640 | 2006-10-31 |
| 1538179593 | Fern Lorraine Grapin | Obstetrics & Gynecology | 2871 Duke St, Alexandria, VA 22314-4512 | 2006-08-09 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on MICHELLE C MIRAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.