Dr Cynthia Wetmore, MD, PHD | |
1012 E 2nd St, Duluth, MN 55805-2200 | |
(218) 249-5555 | |
Not Available |
Full Name | Dr Cynthia Wetmore |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1012 E 2nd St, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184696189 | NPI | - | NPPES |
452400400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 30348 (Mississippi) | Secondary |
208000000X | Pediatrics | 44137 (Minnesota) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
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Dr Cynthia Wetmore, MD, PHD 1012 E 2nd St, Duluth, MN 55805-2200 Ph: (218) 249-5555 | Dr Cynthia Wetmore, MD, PHD 1012 E 2nd St, Duluth, MN 55805-2200 Ph: (218) 249-5555 |
Michael Albert Bronson, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3400 | |
Nancy Joyce Dronen, Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3400 | |
Megan Browning Baldes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Gabrielle Zimbric Hester, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 | |
Dr. Sarah M Frenning, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Jerome Edward Kwako, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Ross William Perko, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 |