Erisa Alia, MD | |
1400 Madison Ave Ste 400a, Mankato, MN 56001-6805 | |
(507) 389-8538 | |
Not Available |
Full Name | Erisa Alia |
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Gender | Female |
Speciality | Dermatology |
Location | 1400 Madison Ave Ste 400a, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811486871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 78089 (Minnesota) | Primary |
Entity Name | Mankato Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Mailing Address | Practice Location Address |
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Erisa Alia, MD 1400 Madison Ave Ste 400a, Mankato, MN 56001-6805 Ph: (507) 389-8538 | Erisa Alia, MD 1400 Madison Ave Ste 400a, Mankato, MN 56001-6805 Ph: (507) 389-8538 |
Donald E Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56002 Phone: 507-625-1811 | |
Maesee Marie Hodgkins, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 100aa, Mankato, MN 56001 Phone: 507-594-9626 | |
Lorraine Jean Griffin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave, Suite 400a, Mankato, MN 56001 Phone: 507-625-1811 |