Douglas P Friederich, MD | |
1925 Woodwinds Dr, Woodbury, MN 55125-2270 | |
(651) 232-0348 | |
(651) 232-0620 |
Full Name | Douglas P Friederich |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1925 Woodwinds Dr, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710047253 | NPI | - | NPPES |
265825900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 36955 (Minnesota) | Primary |
Entity Name | Mc Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982293718 PECOS PAC ID: 4183955974 Enrollment ID: O20220111001955 |
Mailing Address | Practice Location Address |
---|---|
Douglas P Friederich, MD 1390 Shannon Dr, Woodbury, MN 55125-3317 Ph: (612) 702-9184 | Douglas P Friederich, MD 1925 Woodwinds Dr, Woodbury, MN 55125-2270 Ph: (651) 232-0348 |
Dr. Scott E Nicholls, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0228 | |
Dr. Jayson Robert Pereira, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Radio Dr, Woodbury, MN 55125 Phone: 952-831-8742 | |
Steven Palm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0348 | |
Patrick White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Dr. Maryam Beltran Shapland, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1925 Woodwinds Dr, Emergency Department, Woodbury, MN 55125 Phone: 651-232-6818 | |
Jerome R Peterson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 612-339-3663 Fax: 651-702-5305 | |
Michael S Towey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0348 Fax: 635-123-2062 |