Kathleen Muffly, MD | |
1885 Plaza Dr, Eagan, MN 55122-2612 | |
(952) 993-4001 | |
Not Available |
Full Name | Kathleen Muffly |
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Gender | Female |
Speciality | Pediatrics |
Location | 1885 Plaza Dr, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760469894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 35069 (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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Kathleen Muffly, MD 6465 Wayzata Blvd, Suite 315, St Louis Park, MN 55426-1728 Ph: () - | Kathleen Muffly, MD 1885 Plaza Dr, Eagan, MN 55122-2612 Ph: (952) 993-4001 |
Christine Marie Schmitz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121 Phone: 651-406-8860 | |
Barbara Jean Bittner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
Christina Tove Dunn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121 Phone: 651-406-8860 | |
Dr. James W Clark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 | |
Ann Marie Ferguson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121 Phone: 651-406-8860 | |
Deirdre Milligan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr, Eagan, MN 55121 Phone: 651-406-8860 | |
Eleanor-irene B Bucu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 |