NPI 1902067002 · live from the CMS NPI Registry
Micaela T Chatman, MD
Psychiatry & Neurology, Neurology in Roseville, MN. National Provider Identifier 1902067002, active.
NPI record
| NPI | 1902067002 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2720 Fairview Ave N Ste 100, Roseville, MN 55113 |
| Practice phone | 651-241-5290 |
| Enumerated | June 20, 2008 |
| Last updated | January 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 55242 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.