PETER ERLICH MACKAY DO NPI 1972587723

NPI Information

NPI: 1972587723
Provider Name: PETER ERLICH MACKAY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
320 E MAIN ST
CUYUNA REGIONAL MEDICAL CENTER
CROSBY, MN
ZIP 56441
Phone: (218) 546-7000
Get Directions

Peter Erlich Mackay, DO is a family medicine in Crosby, MN. The provider is 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. Peter Erlich Mackay, DO NPI is 1972587723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 E MAIN ST
CUYUNA REGIONAL MEDICAL CENTER
CROSBY, MN
ZIP 56441-645
Phone: (218) 546-7000
Fax: (218) 545-4456

The enumeration date for this NPI number is 12/5/2005 and was last updated on 11/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		35060	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	803077400	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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