Dr Yuliya Borisovna Olimpiadi, MD | |
11850 Blackfoot St Nw Ste 200, Coon Rapids, MN 55433-2593 | |
(763) 236-0808 | |
(763) 236-6065 |
Full Name | Dr Yuliya Borisovna Olimpiadi |
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Gender | Female |
Speciality | Surgery |
Location | 11850 Blackfoot St Nw Ste 200, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609233774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 140213 (California) | Secondary |
208600000X | Surgery | 89119 (Georgia) | Secondary |
208600000X | Surgery | 74146 (Minnesota) | Primary |
Entity Name | Baromedical Physician Associates Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164569463 PECOS PAC ID: 9133031610 Enrollment ID: O20031103000651 |
Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
Mailing Address | Practice Location Address |
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Dr Yuliya Borisovna Olimpiadi, MD 1200 N State St, Ct-a7d, Los Angeles, CA 90033-1029 Ph: (323) 409-6931 | Dr Yuliya Borisovna Olimpiadi, MD 11850 Blackfoot St Nw Ste 200, Coon Rapids, MN 55433-2593 Ph: (763) 236-0808 |
Dr. Mallory Jo Yelenich-huss, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 1, Coon Rapids, MN 55433 Phone: 763-236-9000 | |
Dr. Agnieszka S Hatfield, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-1900 Fax: 763-236-9010 | |
Martin Zadnik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 Fax: 763-236-9010 | |
Alan Stuart Johnson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 | |
Megan Pouliot, DNP Surgery Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8124 | |
William J Mohr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-9000 Fax: 763-236-9010 | |
Kevin M Steadland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 |