Dr Ryan Clark, MD | |
400 E 3rd St, Duluth, MN 55805-1951 | |
(218) 786-8364 | |
Not Available |
Full Name | Dr Ryan Clark |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 400 E 3rd St, 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 |
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1689061822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 71069 (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 Ryan Clark, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Ryan Clark, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Dr. James A Miller, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 402 E 2nd St, Duluth, MN 55805 Phone: 218-786-3900 Fax: 218-722-1827 | |
Dr. Christopher F. Heck, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-3900 Fax: 218-722-1827 | |
Dr. Mary J Boylan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St, Ste 303, Duluth, MN 55805 Phone: 218-249-6050 Fax: 218-249-6055 | |
Frazier Eales, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. David Allen Arzouman, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 400 East 3rd Street, Smdc Medical Center-duluth Clinic, Duluth, MN 55805 Phone: 218-786-3900 Fax: 715-552-8091 |