Heather R Cichanowski, MD | |
435 Phalen Blvd, Mail Stop 51103h, Saint Paul, MN 55130-5302 | |
(651) 254-8300 | |
(651) 254-8379 |
Full Name | Heather R Cichanowski |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 435 Phalen Blvd, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295701548 | NPI | - | NPPES |
177272400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46784020 (Wisconsin) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 44664 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tria Orthopaedic Center Llc | 3173570561 | 362 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Tria Orthopaedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
---|---|
Heather R Cichanowski, MD 435 Phalen Blvd, Mail Stop 51103h, Saint Paul, MN 55130-5302 Ph: (651) 254-8300 | Heather R Cichanowski, MD 435 Phalen Blvd, Mail Stop 51103h, Saint Paul, MN 55130-5302 Ph: (651) 254-8300 |
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