Jose Manuel Jimenez Vega, MD | |
9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623 | |
(651) 265-7575 | |
(651) 265-7580 |
Full Name | Jose Manuel Jimenez Vega |
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Gender | Male |
Speciality | Pediatrics |
Location | 9680 Tamarack Rd Ste 130, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619208980 | NPI | - | NPPES |
Entity Name | Western Michigan University School Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316212343 PECOS PAC ID: 7517113954 Enrollment ID: O20120817000243 |
Mailing Address | Practice Location Address |
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Jose Manuel Jimenez Vega, MD 9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623 Ph: () - | Jose Manuel Jimenez Vega, MD 9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623 Ph: (651) 265-7575 |
Dr. Bridgette Marie Suri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 | |
Alicia Marie Osterman Kemp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305 | |
Michele L Peterson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1875 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-6700 Fax: 651-232-6711 | |
Chelsey Prall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305 | |
Sara K Sweetser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7803 Afton Rd, Woodbury, MN 55125 Phone: 651-738-0470 Fax: 651-738-8915 | |
Dr. Jennifer M.h. Mccormack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Parkway, Healthpartners Woodbury Clinic Ms 32900a, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305 | |
Margaret Kelly Tierney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 Phone: 651-738-0470 |