Bruce H Field, MD | |
7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 | |
(763) 205-4843 | |
Not Available |
Full Name | Bruce H Field |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 7766 Highway 65 Ne, Spring Lake 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 |
---|---|---|---|
1023084076 | NPI | - | NPPES |
491067200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 35654 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | West Side Community Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
Entity Name | Expanse - A Minnesota Mental Health Ketamine & Psychedelic Psychother |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528726775 PECOS PAC ID: 3779940937 Enrollment ID: O20230601002840 |
Mailing Address | Practice Location Address |
---|---|
Bruce H Field, MD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (651) 357-0491 | Bruce H Field, MD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843 |
Patricia Jean Dickmann, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843 Fax: 612-416-2085 |