Donna D Randall, MD | |
2603 White Bear Ave N, Maplewood, MN 55109-5110 | |
(651) 600-3035 | |
Not Available |
Full Name | Donna D Randall |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 2603 White Bear Ave N, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750311320 | NPI | - | NPPES |
742977100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 39856 (Minnesota) | Primary |
Entity Name | Community Clinic Of Maui, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528042561 PECOS PAC ID: 2466365440 Enrollment ID: O20040219000740 |
Mailing Address | Practice Location Address |
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Donna D Randall, MD 2603 White Bear Ave N, Maplewood, MN 55109-5110 Ph: (651) 600-3035 | Donna D Randall, MD 2603 White Bear Ave N, Maplewood, MN 55109-5110 Ph: (651) 600-3035 |
Laure Jo Waschbusch, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 | |
Katherine R Brady, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-770-3320 | |
Ingrid Elizabeth Wilbrand-conley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1737 Beam Ave, Maplewood, MN 55109 Phone: 651-770-3320 Fax: 651-770-3684 | |
Kathryn Hanson Goralski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1737 Beam Ave, Maplewood, MN 55109 Phone: 651-770-3320 Fax: 651-770-3684 | |
Annette N Mies, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1655 Beam Ave, Number 102, Maplewood, MN 55109 Phone: 651-227-9141 Fax: 651-265-6772 | |
Christopher E Ott, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 Fax: 651-348-8783 | |
Rachel Zilles, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 |