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Ray Thomas Birkenkamp

  • Male

Medical Specialty

Professional ID

  • NPI: 1174594741
  • PECOS ID: 6507992443
  • Enrollment ID: I20100330000527
  • Credential(MD, DO, DPM):
  • Medical School: Southern Illinois University School Of Medicine
  • Medical School Graduation Year: 1977

Hospital Service

  • Hospital CCN1: 430013
  • Business Name (LBN)1: Avera Queen Of Peace

Medical Practices

  • Organization Name: Mabee Clinic Ltd
  • Group Practice ID assigned by PECOS: 9931195773
  • Number of Group Practice member: 0

Location

  • Address1: 305 N Sanborn Blvd
  • Address2:
  • City: Mitchell
  • State: South Dakota
  • Zip Code: 57301
  • Phone Number: (605)996-2537

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):