Dr Fred Lawrence Webber, DO | |
20 5th St Se, Cook, MN 55723-9702 | |
(218) 666-5941 | |
Not Available |
Full Name | Dr Fred Lawrence Webber |
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Gender | Male |
Speciality | Family Medicine |
Location | 20 5th St Se, Cook, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770508103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22801 (Minnesota) | Primary |
207Q00000X | Family Medicine | 19448 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | OS3587 (Florida) | Secondary |
Entity Name | Sanford Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
Entity Name | Minnesota Valley Health Center Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20061104000638 |
Mailing Address | Practice Location Address |
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Dr Fred Lawrence Webber, DO Po Box 275, Crystal Beach, FL 34681-0275 Ph: (727) 742-2423 | Dr Fred Lawrence Webber, DO 20 5th St Se, Cook, MN 55723-9702 Ph: (218) 666-5941 |
Nicholas Brian Vidor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5102 | |
Harold D Johnston, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Medical, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 | |
Dr. Bruce David Garbisch, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 | |
Lynne M Didrikson I, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 |