| Michelle B. Mintzer, M.d., P.a. | |
|
600 Caisson Hill Rd Ft Riley KS 66442-7037 | |
| (913) 111-1111 | |
| Not Available |
| Full Name | Michelle B. Mintzer, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 600 Caisson Hill Rd, Ft Riley, Kansas |
| Authorized Official Name and Position | Michelle B. Mintzer (PRESIDENT) |
| Authorized Official Contact | 9131111111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle B. Mintzer, M.d., P.a. 1228 Westloop Pl Pmb 214 Manhattan KS 66502-2840 Ph: (913) 111-1111 | Michelle B. Mintzer, M.d., P.a. 600 Caisson Hill Rd Ft Riley KS 66442-7037 Ph: (913) 111-1111 |
| NPI Number | 1255481727 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255481727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0423698 (Kansas) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 0423698 (Kansas) | Secondary |