Grace Carson, MD | |
4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 | |
(651) 653-0062 | |
Not Available |
Full Name | Grace Carson |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4465 White Bear Pkwy, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689169989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2018019964 (Missouri) | Secondary |
207V00000X | Obstetrics & Gynecology | 72400 (Minnesota) | Primary |
Entity Name | Aalfa Family Practice Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437150877 PECOS PAC ID: 7810954146 Enrollment ID: O20041217000387 |
Entity Name | Saint Gianna Obstetrics Fertility And Surgery Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457042137 PECOS PAC ID: 7214397272 Enrollment ID: O20230721002292 |
Mailing Address | Practice Location Address |
---|---|
Grace Carson, MD 4407 Chatsworth St N, Shoreview, MN 55126-2251 Ph: (701) 429-1760 | Grace Carson, MD 4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 Ph: (651) 653-0062 |
Elizabeth Jean Nordin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4465 White Bear Pkwy, White Bear Lake, MN 55110 Phone: 651-653-0062 Fax: 651-653-0288 | |
Gerald D. Hautman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1430 Hwy 96 E - Mail Stop 32300a, Healthpartners White Bear Lake Clinic, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 |