Dr Andrew Sanford Koivuniemi, MD/PHD | |
3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206 | |
(765) 701-6451 | |
(765) 420-5801 |
Full Name | Dr Andrew Sanford Koivuniemi |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 3001 S Creasy Ln Ste 100a, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134500143 | NPI | - | NPPES |
11018180A | Other | IN | PROFESSIONAL LICENSING AGENCY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 01088594A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Sanford Koivuniemi, MD/PHD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Andrew Sanford Koivuniemi, MD/PHD 3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206 Ph: (765) 701-6451 |
Dr. Karl Walter Janich, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Landmark Dr Ste B, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7635 | |
William Brian Kuhn, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Landmark Dr Ste B, Lafayette, IN 47905 Phone: 317-396-1300 Fax: 765-447-4172 | |
Dr. Erick Stephanian, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Landmark Dr Ste B, Lafayette, IN 47905 Phone: 765-448-4100 Fax: 765-448-7610 |