Dr Grant Michael Riesberg, MD | |
2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 | |
(651) 292-2000 | |
Not Available |
Full Name | Dr Grant Michael Riesberg |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2355 Hwy 36 W., Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013401686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 75994 (Minnesota) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
Entity Name | Miracl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
Mailing Address | Practice Location Address |
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Dr Grant Michael Riesberg, MD 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Ph: (651) 292-2000 | Dr Grant Michael Riesberg, MD 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Ph: (651) 292-2000 |
Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000 | |
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
John P Knoedler Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140 | |
Jennifer Ashley Knight, MD Radiology Medicare: Medicare Enrolled Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |