Provider Demographics
NPI:1669402954
Name:TEMPEL, JOSEPH W (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:TEMPEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8674
Mailing Address - Street 2:1230 E MAIN ST
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56002-8674
Mailing Address - Country:US
Mailing Address - Phone:507-625-1811
Mailing Address - Fax:
Practice Address - Street 1:520 S GALBRAITH
Practice Address - Street 2:MANKATO CLINIC BLUE EARTH MEDICAL CENTER
Practice Address - City:BLUE EARTH
Practice Address - State:MN
Practice Address - Zip Code:56013
Practice Address - Country:US
Practice Address - Phone:507-526-7371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-07-20
Deactivation Date:2006-09-05
Deactivation Code:
Reactivation Date:2011-07-20
Provider Licenses
StateLicense IDTaxonomies
MN18250207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1966138OtherAMERICAS PPO
IA2973701Medicaid
MNNA2951010488OtherPREFERRED ONE
080068443OtherRR MEDICARE
MN222568900Medicaid
MNHP25871OtherHEALTH PARTNERS
MN3T992TEOtherBCBS
41084933956001C090OtherCHAMPUS
IA95127OtherBCBS
MN0116025OtherMEDICA
MN115443OtherUCARE
41084933956001C090OtherCHAMPUS
MN089002491Medicare ID - Type Unspecified