Dr MICHAEL R MINCKLER is a male medical professional, specializing in Emergency Medicine. He graduated in 2013 from Jefferson Medical College Of Thomas Jefferson University.
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
PMG SE WA
WALLA WALLA
WA
993622846
Tel: 5095253320
Npi | 1821437484 |
Pac Id | 1557669785 |
Professional Enrollment Id | I20160712002113 |
Last Name | MINCKLER |
First Name | MICHAEL |
Middle Name | R |
Suffix | |
Gender | M |
Credential | |
Medical School Name | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
Graduation Year | 2013 |
Primary Specialty | EMERGENCY MEDICINE |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WASHINGTON |
Group Practice Pac Id | 2860552973 |
Number Of Group Practice Members | 146 |
Line 1 Street Address | 401 W POPLAR ST |
Line 2 Street Address | PMG SE WA |
Marker Of Address Line 2 Suppression | |
City | WALLA WALLA |
State | WA |
Zip Code | 993622846 |
Phone Number | 5095253320 |
Hospital Affiliation Ccn 1 | 500002 |
Hospital Affiliation Lbn 1 | PROVIDENCE ST MARY MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 381319 |
Hospital Affiliation Lbn 2 | ST ANTHONY HOSPITAL |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.