Dr Claudio Isidoro Duarte, MD | |
13060 Isle Dr, Baxter, MN 56425-8331 | |
(218) 828-2880 | |
Not Available |
Full Name | Dr Claudio Isidoro Duarte |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 13060 Isle Dr, Baxter, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841232360 | NPI | - | NPPES |
4833602 | Medicaid | MI | |
811632 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301086489 (Michigan) | Secondary |
208000000X | Pediatrics | 74058 (Minnesota) | Primary |
Entity Name | St Josephs Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
Mailing Address | Practice Location Address |
---|---|
Dr Claudio Isidoro Duarte, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Dr Claudio Isidoro Duarte, MD 13060 Isle Dr, Baxter, MN 56425-8331 Ph: (218) 828-2880 |
Lee Alan Muskovitz, Pediatrics Medicare: Medicare Enrolled Practice Location: 13060 Isle Drive, Baxter, MN 56425 Phone: 218-828-2880 | |
Dr. Dean A Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 | |
Troy D Couture, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 | |
Jane L Winter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 |