Organization · Type 2 NPI
Michael Mahoney Internal Medicine, Inc.
General Practice Physician · Fargo, ND
NPI number
1366035420
Active
Practice location
3409 45th St S Ste 106
Fargo, ND 58104-8970
Mailing address
2255 S 132nd St Ste 100
Omaha, NE 68144-2573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1366035420
Michael Mahoney Internal Medicine, Inc.'s National Provider Identifier is 1366035420, issued on Feb 18, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fargo, ND. The record was last updated on May 3, 2021.