Gary Edwin Wyard, MD | |
501 S Maple St, Waconia, MN 55387-1715 | |
(952) 442-2163 | |
(952) 442-5903 |
Full Name | Gary Edwin Wyard |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 501 S Maple St, Waconia, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659487239 | NPI | - | NPPES |
73B30WY | Other | BLUECROSS BLUESHIELD | |
969990824016 | Other | PREFERREDONE | |
HP14727 | Other | HEALTHPARTNERS | |
10241E948 | Other | UCARE | |
928624 | Other | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 18682 (Minnesota) | Primary |
Entity Name | Infinite Health Collaborative Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Mailing Address | Practice Location Address |
---|---|
Gary Edwin Wyard, MD 6465 Wayzata Blvd, Suite 900, St Louis Park, MN 55426-1728 Ph: (952) 512-5600 | Gary Edwin Wyard, MD 501 S Maple St, Waconia, MN 55387-1715 Ph: (952) 442-2163 |
David Charles Eggert, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 | |
Scott Myron Holthusen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 | |
Robert Mccellan Barnett Jr., MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 | |
Dr. Christopher Eric Honstad, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 | |
Richard A Davis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 | |
Mark Ellis Friedland, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 |