Dr Eric D Wiest, MD | |
801 Broadway N, Fargo, ND 58102-3641 | |
(701) 234-5121 | |
Not Available |
Full Name | Dr Eric D Wiest |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 801 Broadway N, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1285898031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 4301092924 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 11993 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
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Dr Eric D Wiest, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-5121 | Dr Eric D Wiest, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-5121 |
Daniel Gregory Falvey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Dr. Kevin Torkelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535 | |
Douglas J Hushka, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6552 Fax: 701-234-5124 | |
Gregory J Bjerke, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5123 Fax: 701-234-5124 | |
Paul R Bilstad, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5121 Fax: 701-234-5124 | |
David C Drage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5121 Fax: 701-234-5124 | |
Tony J Hamilton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 |