Deborah M Nowak, MD | |
6565 France Ave S Ste 350, Edina, MN 55435 | |
(612) 389-1093 | |
Not Available |
Full Name | Deborah M Nowak |
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Gender | Female |
Speciality | Surgery |
Location | 6565 France Ave S Ste 350, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386674547 | NPI | - | NPPES |
096028400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 48182 (Minnesota) | Primary |
Entity Name | Advacare Clinics Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265614242 PECOS PAC ID: 4981653136 Enrollment ID: O20050114000531 |
Mailing Address | Practice Location Address |
---|---|
Deborah M Nowak, MD 11407 Creekridge Dr, Eden Prairie, MN 55347-4311 Ph: (952) 836-8513 | Deborah M Nowak, MD 6565 France Ave S Ste 350, Edina, MN 55435 Ph: (612) 389-1093 |
David G Rustad, MD Surgery Medicare: Medicare Enrolled Practice Location: 7710 Computer Ave, #110, Edina, MN 55435 Phone: 952-835-9442 Fax: 952-835-9443 | |
James H. Andrisevic, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4570 W 77th St, Suite 235, Edina, MN 55435 Phone: 952-832-0805 Fax: 952-832-5597 | |
Paul L. Benn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146 | |
Dr. Jonathan David Witzke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 220, Edina, MN 55435 Phone: 952-925-1111 Fax: 952-922-3446 | |
Charles P. Nicholson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146 | |
Dr. Robert Joseph Reese, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 6525 France Ave S, Suite, Edina, MN 55435 Phone: 803-808-8070 Fax: 803-808-8074 | |
George J. Nemanich, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146 |