Provider Demographics
NPI:1396882759
Name:WESTERHAUS, MICHAEL J (MA, MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:WESTERHAUS
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Gender:M
Credentials:MA, MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:451 NORTH DUNLAP STREET
Practice Address - Street 2:MAIL STOP 32700A HEALTHPARTNERS MIDWAY CLINIC-CENTER FO
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2595
Practice Address - Country:US
Practice Address - Phone:651-647-2100
Practice Address - Fax:651-647-2201
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2020-05-07
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Provider Licenses
StateLicense IDTaxonomies
MN54640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine