Dr Danielle Marie Deanovich, DO | |
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | |
(651) 702-1234 | |
(651) 275-3325 |
Full Name | Dr Danielle Marie Deanovich |
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Gender | Female |
Speciality | Pediatrics |
Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063856094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 72095 (Minnesota) | Primary |
Entity Name | Tahoe Carson Valley Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Mailing Address | Practice Location Address |
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Dr Danielle Marie Deanovich, DO 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Dr Danielle Marie Deanovich, DO 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 702-1234 |
Dr. Stephen Mark Scallon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 | |
Taylor Conroy Nottke, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Mollie Katherine Malaney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Jessica Lee Najarian-bell, Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
Kathryn M.. Salvatore, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Dr. Karla J Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 |