Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KONSTANTIN A MIKHEYEV, DO
ActiveFamily Medicine · WINNEBAGO, WI
Registration Details
- NPI Number
- 1225320005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2011 (14.973254537932 yrs)
- Last Updated
- Jun 8, 2015
- License
-
60128-21 (WI)
Practice Information
- Address
-
1300 SOUTH DRIVEWINNEBAGO, WI, 549850009Browse WI providers · Browse ZIP 54985
- Phone
- 9202354910
- Fax
- 9202372800
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WINNEBAGO, WI
| Name | Credential | NPI |
|---|---|---|
| CARLO GALLO GAANAN | MD | 1427231828 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.