Jeremy Gordon Wolter, DO | |
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | |
(763) 559-3779 | |
(763) 450-3986 |
Full Name | Jeremy Gordon Wolter |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 14700 28th Ave N Ste 20, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427612555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 73924 (Minnesota) | Primary |
Entity Name | Metropolitan Anesthesia Network Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
Entity Name | University Anesthesia Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
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 |
---|---|
Jeremy Gordon Wolter, DO Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779 | Jeremy Gordon Wolter, DO 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-3779 |
Peter William Coleman, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 635-593-7797 Fax: 763-450-3986 | |
Dr. Jeffrey Mark Wise Ii, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Robby Singh Sikka, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N, Suite 20, Plymouth, MN 55447 Phone: 612-701-2080 | |
Dr. Kathryn Rose Teague, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Britta Anne Dosland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Zachary Dylan Blackstun, Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-7779 Fax: 763-450-3986 | |
Steven Beckley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N, 20, Plymouth, MN 55447 Phone: 763-559-3779 |