Brian D Amdahl, MD | |
1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 | |
(651) 779-9322 | |
(651) 779-9325 |
Full Name | Brian D Amdahl |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 1600 Saint Johns Blvd, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609829357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 33382 (Minnesota) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | 33382 (Minnesota) | Primary |
Entity Name | Healtheast Medical Research Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Mailing Address | Practice Location Address |
---|---|
Brian D Amdahl, MD 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 Ph: (651) 779-9322 | Brian D Amdahl, MD 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 Ph: (651) 779-9322 |
Andrzej Petryk, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1580 Beam Ave, Maplewood, MN 55109 Phone: 651-779-7978 Fax: 651-779-7656 | |
Dr. Rahul Koranne, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7800 | |
Sherry A Moriarty, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-779-2500 Fax: 651-770-8834 | |
Endea J Curry, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 Fax: 651-523-9801 | |
Ovidiu George Ardeleanu, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 Fax: 651-523-9801 | |
Madison Therese Brickner, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7800 | |
Dr. Thomas Martin Hauth, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-232-7800 |