Elliot Y Koo, MD | |
400 E 3rd St, Duluth, MN 55805-1951 | |
(218) 786-8364 | |
Not Available |
Full Name | Elliot Y Koo |
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Gender | Male |
Speciality | Otolaryngology |
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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1770088031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 036.171677 (Illinois) | Primary |
207Y00000X | Otolaryngology | 78441 (Minnesota) | Secondary |
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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Elliot Y Koo, MD 1062 N Ashland Ave Apt 304, Chicago, IL 60622-3943 Ph: (516) 652-3983 | Elliot Y Koo, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Michael Mcneal Savage, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3323 | |
Rolando R Rosas, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Mark Christopher Rhodes, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. David M Choquette, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 920 E 1st St, Suite 301, Duluth, MN 55805 Phone: 218-279-6279 Fax: 218-279-6280 | |
Dr. Todd J Freeman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St, Suite 301, Duluth, MN 55805 Phone: 218-279-6279 Fax: 218-279-6280 | |
Dr. Heidi Elaine L'esperance, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
William Portilla, Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 |