Dr Richard Timothy Grossart, MD | |
1600 Miller Trunk Hwy, Duluth, MN 55811-5640 | |
(218) 786-3392 | |
Not Available |
Full Name | Dr Richard Timothy Grossart |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 1600 Miller Trunk Hwy, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740568690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 68024 (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 |
Entity Name | Northern Pines Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
Mailing Address | Practice Location Address |
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Dr Richard Timothy Grossart, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Richard Timothy Grossart, MD 1600 Miller Trunk Hwy, Duluth, MN 55811-5640 Ph: (218) 786-3392 |
Thomas Scott Douglass, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Sue Ellen Mollner, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Anjali Kalra, Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3392 | |
Dr. Douglas M Wendland, MD, MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4702 Grand Ave, Duluth, MN 55807 Phone: 218-249-6822 Fax: 218-249-6828 |