Search › Wisconsin › 207Q00000X
Konstantin Mikheyev, DO
NPI 1225320005 · on the registry since 2011
Practice
- Address
- 1300 South Drive
Winnebago, WI 54985 - Phone
- (920) 235-4910
- Fax
- (920) 237-2800
- Organisation at this address
- Winnebago Mental Health Institute
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin