James Dean Brosseau, MD | |
400 S Minnesota St - Altru Clinic/crookston, Crookston, MN 56716-1808 | |
(218) 281-9100 | |
Not Available |
Full Name | James Dean Brosseau |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 400 S Minnesota St - Altru Clinic/crookston, Crookston, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760589543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 3145 (North Dakota) | Secondary |
207R00000X | Internal Medicine | 20687 (Minnesota) | Primary |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Mailing Address | Practice Location Address |
---|---|
James Dean Brosseau, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | James Dean Brosseau, MD 400 S Minnesota St - Altru Clinic/crookston, Crookston, MN 56716-1808 Ph: (218) 281-9100 |
Sherine Talaat, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 Fax: 218-281-9590 | |
Theodore S Olson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 | |
David Fernando Frugone Larrea, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 South Minnesota Street, Crookston, MN 56716 Phone: 218-281-9100 |