| Dale J Duthoy, MD | |
|
4786 Banning Ave, White Bear Lake, MN 55110-3264 | |
| (651) 426-6402 | |
| (651) 429-3402 |
| Full Name | Dale J Duthoy |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4786 Banning Ave, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215942180 | NPI | - | NPPES |
| 645567100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27120 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dale J Duthoy, MD 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 Ph: (651) 772-1572 | Dale J Duthoy, MD 4786 Banning Ave, White Bear Lake, MN 55110-3264 Ph: (651) 426-6402 |
Carol K Stark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402 | |
Dr. Anna Margaret Dang, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Rachel Bachman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Joseph Stephen Micallef, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E - Mail Stop 32300a, Healthpartners White Bear Lake Clinic, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 | |
Jeffrey D Elbers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402 | |
Hannah Marie Jenson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 |