Dr Sean J Ennevor, MD | |
333 Smith Ave N, Saint Paul, MN 55102-2344 | |
(651) 735-0501 | |
(651) 735-1870 |
Full Name | Dr Sean J Ennevor |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 333 Smith Ave N, Saint Paul, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841302510 | NPI | - | NPPES |
477425600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 42312 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Sean J Ennevor, MD 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Dr Sean J Ennevor, MD 333 Smith Ave N, Saint Paul, MN 55102-2344 Ph: (651) 735-0501 |
Nancy K Thorvilson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Thomas Laberge, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Dr. Mark T Destache, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert Gorman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Dr. Reid A Martinson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Deanna Siliciano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5560 | |
Sena Kihtir, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 Smith Ave N Ste 100, Saint Paul, MN 55102 Phone: 651-241-7246 |