Dr Gregory J Vitas, MD | |
9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | |
(763) 780-6699 | |
(763) 420-0500 |
Full Name | Dr Gregory J Vitas |
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Gender | Male |
Speciality | Surgery |
Location | 9825 Hospital Dr Ste 105, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972600047 | NPI | - | NPPES |
784598700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 29427 (Minnesota) | Primary |
Entity Name | Specialists In General Surgery, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780649665 PECOS PAC ID: 2466416128 Enrollment ID: O20041112001167 |
Mailing Address | Practice Location Address |
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Dr Gregory J Vitas, MD 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 Ph: (763) 780-6699 | Dr Gregory J Vitas, MD 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 Ph: (763) 780-6699 |
Dr. Adrianne L. Bowen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Dr. Kyle R Barker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Archana Ramaswamy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Corey J Stennes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Jonathan C Gipson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Dr. Crystal Fialova Lumi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15552 68th Pl N, Maple Grove, MN 55311 Phone: 931-237-2265 Fax: 612-594-8998 | |
Dr. James K Croston, MD Surgery Medicare: Medicare Enrolled Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0506 |