Dr Owen Thomas Tierney, DO | |
4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | |
(218) 786-3540 | |
Not Available |
Full Name | Dr Owen Thomas Tierney |
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Gender | Male |
Speciality | Family Medicine |
Location | 4855 W Arrowhead Rd, Hermantown, Minnesota |
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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1558984179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 69961 (Minnesota) | Primary |
Entity Name | The Duluth Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
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Dr Owen Thomas Tierney, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: () - | Dr Owen Thomas Tierney, DO 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 Ph: (218) 786-3540 |
Elizabeth Marie Raduege, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 Fax: 218-722-8160 | |
Dr. Elizabeth A Liljeblad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 Loberg Ave, Hermantown, MN 55811 Phone: 218-249-4600 Fax: 218-249-4666 | |
Dr. Mara Suzanne Edison, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 | |
Renee Ann Schlabach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 | |
Bruce Ernest Knutsen, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 Fax: 218-722-8160 | |
Michael Charles Mollen, Family Medicine Medicare: Medicare Enrolled Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 |