Ray Thomas Birkenkamp
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):