Paul Sanderson, MS | |
712 South Cascade Street, Fergus Falls, MN 56537-2813 | |
(218) 736-8000 | |
(218) 736-8757 |
Full Name | Paul Sanderson |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 712 South Cascade Street, Fergus Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659464683 | NPI | - | NPPES |
HP60939 | Other | MN | HEALTHPARTNERS |
108067 | Other | MN | UCAREMN |
4500160 | Other | MN | MEDICA |
51795 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 5253 (Minnesota) | Primary |
Provider Name | Lake Region Healthcare Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
Mailing Address | Practice Location Address |
---|---|
Paul Sanderson, MS 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 | Paul Sanderson, MS 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 |
Dr. Courtney Fochs, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St Fergus Falls, Fergus Falls, MN 56537 Phone: 218-736-8000 | |
Dr. Mikayla Nicole Gustafson, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 119 N Union Ave Unit 1, Fergus Falls, MN 56537 Phone: 701-330-7758 |