| Jerry Wayne Stanke, MD | |
|
3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110-5131 | |
| (651) 770-0110 | |
| (651) 770-0134 |
| Full Name | Jerry Wayne Stanke |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 3555 Willow Lake Blvd, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043329220 | NPI | - | NPPES |
| 553002400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 22442 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Wayne Stanke, MD 60 Plato Blvd E, Suite 270, Saint Paul, MN 55107-1827 Ph: (651) 209-1600 | Jerry Wayne Stanke, MD 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110-5131 Ph: (651) 770-0110 |
Andrea Langeveld, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
John Stansbury, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7000 Fax: 651-641-7166 | |
Mrs. Wendy Roberta Timmons, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4480 Centerville Rd, Saint Paul, MN 55127 Phone: 651-484-2724 Fax: 651-484-2723 | |
Jessica A Healy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134 | |
Katherine E Brick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
Dennis M Leahy, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N, Suite 720, Saint Paul, MN 55104 Phone: 651-645-3628 |