Dr Wayne Donald Carlson, MD | |
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | |
(651) 439-1234 | |
(651) 439-1547 |
Full Name | Dr Wayne Donald Carlson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730164880 | NPI | - | NPPES |
31578800 | Medicaid | WI | |
206382400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21455 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Wayne Donald Carlson, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: (651) 439-1234 | Dr Wayne Donald Carlson, MD 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234 |
Matthew James Logan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N, Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 | |
Dr. Gary Arthur Williams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 | |
Katherine Swanson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Paula M. Hedin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Kristen M Kajewski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
Mr. Tou Sue Vang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
Dr. Michael Gregory Coodin, MD, CCFP, FCFP Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 |