Jacob Joseph Stuppy, DO, MS | |
717 Delaware St Se Ste 353, Minneapolis, MN 55414-2959 | |
(612) 626-3761 | |
Not Available |
Full Name | Jacob Joseph Stuppy |
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Gender | Male |
Speciality | Pediatrics |
Location | 717 Delaware St Se Ste 353, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063093094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 76378 (Minnesota) | Primary |
Entity Name | University Of Minnesota Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Jacob Joseph Stuppy, DO, MS 717 Delaware St Se Ste 353, Minneapolis, MN 55414-2959 Ph: (612) 624-8788 | Jacob Joseph Stuppy, DO, MS 717 Delaware St Se Ste 353, Minneapolis, MN 55414-2959 Ph: (612) 626-3761 |
Dr. Kathleen F Sadak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-6402 | |
Dr. Aimee Kristen Sznewajs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-343-2121 | |
Anisha Rimal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Dr. Marie Elizabeth Steiner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
Dr. Bruce Robert Blazar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, MN 55455 Phone: 612-273-2800 | |
Dr. Pablo Ureta Avendano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
Heather Emily Stefanski, MD, PH.D Pediatrics Medicare: Medicare Enrolled Practice Location: Mmc 366, University Of Minnesota, Minneapolis, MN 55455 Phone: 612-626-2961 |