MARY S MICHENER (NPI# 1124038724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124038724 |
| Entity Type | Individual |
| Full Name | MARY S MICHENER |
| Credential | MD |
| Practice Address |
859 Mankato Avenue Winona Clinic Ltd Winona MN 55987 |
| Practice Telephone | 5074543680 |
| Practice Fax Number | 5074577672 |
| Mailing Telephone | 5074543680 |
| Mailing Fax Number | 5074577672 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38452 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 636227300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386710069 | Mary Christine Michener | Speech-Language Pathologist | 1525 Addison Ave E Ste 6, Twin Falls, ID 83301-5383 | 2006-11-27 |
| Street Address |
859 MANKATO AVENUE WINONA CLINIC LTD |
| City | WINONA |
| State | MN |
| Zip Code | 55987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518977180 | Martha S Cooley | Advanced Practice Midwife | 859 Mankato Avenue, Winona, MN 55987 | 2006-08-08 |
| 1144337692 | Ann F Olson | Nurse Practitioner | 859 Mankato Avenue, Winona, MN 55987 | 2006-08-23 |
| 1891705505 | Laurie S Broghammer | Podiatrist | 859 Mankato Avenue, Winona, MN 55987 | 2006-08-08 |
| 1275543829 | John G Mulrooney | Internal Medicine | 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 | 2006-08-08 |
| 1881604478 | John D Rowekamp | Surgery | 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 | 2006-08-08 |
| 1104836709 | Gary W Hayes | Dentist | 859 Mankato Avenue, Winona, MN 55987 | 2006-08-08 |
| 1972513588 | David A Christenson | Family Medicine | 859 Mankato Avenue, Winona, MN 55987 | 2006-08-08 |
| 1487664181 | Daniel Parker | Internal Medicine | 859 Mankato Avenue, Winona, MN 55987 | 2006-08-08 |
| 1447260088 | Suzanne M Jelense | Surgery | 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 | 2006-08-08 |
| 1699785246 | Sheila A Hadaway | Pediatrics | 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 | 2006-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356510895 | Diana Louise Koenig | Family Medicine | 9104 State Hwy 19, Ozarks Medical Center Winona, Winona, MO 65588 | 2008-02-28 |
| 1659550127 | Steven Dewayne Gammel | Family Medicine | 408 Tyler Holmes Dr, Winona, MS 38967-1522 | 2007-10-31 |
| 1285765081 | Family Medicine of Winona P.a. | Family Medicine | 825 Mankato Ave Ste 210, Winona, MN 55987-4866 | 2007-03-07 |
| 1114052685 | Karen Doreen Vrchota | Family Medicine | 1005 West 5th Street Integrative Healthcare of Winona, Winona, MN 55987 | 2007-02-23 |
| 1013055599 | Rebecca Hodges | Family Medicine | 707 Alberta Dr, Winona, MS 38967-1538 | 2007-02-05 |
| 1912058231 | Grenada Family Medicine Clinic | Family Medicine | 418b N Applegate St, Winona, MS 38967-1827 | 2007-01-15 |
| 1881600492 | Steven Keith Rushing | Family Medicine | 700 Woodland Dr, Winona, MS 38967-1530 | 2006-08-01 |
| 1285649855 | Tyler Holmes Memorial Hospital | Family Medicine | 700 Woodland Drive, Winona, MS 38967 | 2006-07-30 |
| 1700847340 | Rebecca L Lossen | Family Medicine | 825 Mankato Ave, Ste 210, Winona, MN 55987-4866 | 2006-03-31 |
| 1821442534 | Alexandra Sharp | Family Medicine | 855 Mankato Ave, Winona, MN 55987-4868 | 2016-04-19 |
| Find all providers in WINONA | ||||
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| 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.