Provider Demographics
NPI:1124017256
Name:MCHALE, MICHAEL STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:STEPHEN
Last Name:MCHALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1000 E. 23RD ST.
Practice Address - Street 2:STE. 230
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2122
Practice Address - Country:US
Practice Address - Phone:605-322-6900
Practice Address - Fax:605-322-6901
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD1762207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
20851OtherSIOUX VALLEY HEALTH PLAN
24470OtherHEALTHPARTNERS
1229OtherAVERA
1762OtherDAKOTACARE
830008098OtherRAILROAD MEDICARE
MN261883400Medicaid
36-00289OtherMEDICA-SELECTCARE
NE46048458000Medicaid
1689188OtherTHE ARAZ GROUP
MN268R4MCOtherBLUE CROSS BLUE SHIELD MN
429521028115OtherPREFERRED ONE
SD6630212Medicaid
SD0040332OtherBLUE CROSS BLUE SHIELD SD
IA2998450Medicaid
IA30471OtherBLUE CROSS BLUE SHIELD IA
169798OtherUCARE
SD6630217Medicaid
SDP01072853OtherRR MEDICARE
SD6630217Medicaid
MN261883400Medicaid
MN268R4MCOtherBLUE CROSS BLUE SHIELD MN
MN830000833Medicare PIN
IA30471OtherBLUE CROSS BLUE SHIELD IA
1689188OtherTHE ARAZ GROUP
SD40332Medicare PIN