Konstantin A Mikheyev, DO

NPI #1225320005 in Winnebago, Wisconsin

Provider Information

NPI Number: 1225320005
Entity Type: Individual
Name: Konstantin A Mikheyev, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 11, 2011
Last Updated: Jun 8, 2015

Practice Location

Address: 1300 SOUTH DRIVE
City: Winnebago
State: Wisconsin
ZIP Code: 54985-0009
Phone: (920) 235-4910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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