Carol A Soutor, MD | |
401 Phalen Blvd - Ms 41102b, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | |
(651) 254-7580 | |
(651) 254-7584 |
Full Name | Carol A Soutor |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 401 Phalen Blvd - Ms 41102b, St. Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023084241 | NPI | - | NPPES |
841582000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 24028 (Minnesota) | Primary |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Carol A Soutor, MD 8170 33rd Ave S, Ms21110q, Minneapolis, MN 55425-4516 Ph: (952) 883-5375 | Carol A Soutor, MD 401 Phalen Blvd - Ms 41102b, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 Ph: (651) 254-7580 |
Zoe Brown-joel, MD Dermatology Medicare: Medicare Enrolled Practice Location: 401 Phalen Blvd, Ms 41102b, St. Paul, MN 55130 Phone: 651-254-7580 | |
Erica Grinager, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Ms 41102b Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-7580 Fax: 651-254-7584 |