Charles Lick, MD | |
303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 | |
(763) 684-7500 | |
(763) 684-7152 |
Full Name | Charles Lick |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 303 Catlin St, Buffalo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366419525 | NPI | - | NPPES |
31933 | Other | MN | MEDICAL LICENSE |
832590100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 31933 (Minnesota) | Primary |
Entity Name | Emergency Physicians Professional Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Charles Lick, MD 5435 Feltl Rd, Minnetonka, MN 55343-7983 Ph: (952) 835-9880 | Charles Lick, MD 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Ph: (763) 684-7500 |
Dustin Michael Timmons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
Lynn Simon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 Catlin Street, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
Nicholas Joseph Abram, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-1212 | |
Dr. William M Goodall, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
John Frank Robinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
Christine Ingrid Delmonico, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Emergency Department, Buffalo, MN 55313 Phone: 763-684-7500 |