Angela Bennett, | |
500 Osborne Rd Ne, Suite 215, Fridley, MN 55432-2765 | |
(763) 236-2707 | |
Not Available |
Full Name | Angela Bennett |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 500 Osborne Rd Ne, Fridley, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083152367 | NPI | - | NPPES |
1366440257 | Medicaid | MN | |
1285887653 | Medicaid | MN | |
1598191389 | Medicaid | MN | |
1619938396 | Medicaid | MN | |
1396852091 | Medicaid | MN | |
1942317888 | Medicaid | MN | |
1134225535 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1027 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Angela Bennett, 500 Osborne Rd Ne, Suite 215, Fridley, MN 55432-2765 Ph: (763) 236-2707 | Angela Bennett, 500 Osborne Rd Ne, Suite 215, Fridley, MN 55432-2765 Ph: (763) 236-2707 |
Dr. Thomas F Rolewicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5888 | |
Dr. Hana Bonefacic, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5955 | |
Dr. James Patrick Bergstrom, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-586-5844 |