John O'brien Iii, | |
15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | |
(952) 993-4500 | |
Not Available |
Full Name | John O'brien Iii |
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Gender | Male |
Speciality | Pediatrics |
Location | 15111 Twelve Oaks Center Dr, Minnetonka, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487631404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 42708 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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John O'brien Iii, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | John O'brien Iii, 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 Ph: (952) 993-4500 |
Danah Marie O'neil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14001 Ridgedale Drive, Suite 100, Minnetonka, MN 55305 Phone: 952-473-0211 Fax: 952-473-7908 | |
Adrian Araya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6060 Clearwater Dr Ste 220, Minnetonka, MN 55343 Phone: 651-220-6624 | |
Burton Allan Benson Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305 Phone: 952-473-0211 Fax: 952-473-7908 | |
Dr. Lorene Freehill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345 Phone: 952-401-8300 | |
Mary Hobbs Meland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17705 Hutchins Dr, Minnetonka, MN 55345 Phone: 952-401-8300 | |
Dr. Tracy Goetz Hall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17705 Hutchins Dr, Minnetonka, MN 55345 Phone: 952-401-8300 | |
Dale Thomas Dobrin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345 Phone: 952-401-8300 Fax: 952-401-8240 |