Anil Jerry Gherau, DO | |
6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426-4713 | |
(952) 993-7705 | |
Not Available |
Full Name | Anil Jerry Gherau |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 6600 Excelsior Blvd Ste 160, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407477169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 69910 (Minnesota) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Anil Jerry Gherau, DO 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Anil Jerry Gherau, DO 6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426-4713 Ph: (952) 993-7705 |
Elisabeth Jean Mcclean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-883-1000 | |
Kari Miller, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3512 | |
Dr. Sara Johanna Mitlyng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6600 Excelsior Blvd, Suite 100, St Louis Park, MN 55426 Phone: 952-993-7700 | |
Dr. Wayne D Liebhard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025 | |
Michael Dukinfield, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426 Phone: 952-993-7700 | |
Jodi Milburn, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666 | |
Mary D Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707 |