Kaye C Mickelson, MD | |
347 Smith Ave N, Suite 203, Saint Paul, MN 55102-2387 | |
(651) 241-7733 | |
Not Available |
Full Name | Kaye C Mickelson |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 347 Smith Ave N, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689637035 | NPI | - | NPPES |
840527100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 38554 (Minnesota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Clinic Sofia Obgyn Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245218825 PECOS PAC ID: 2466404991 Enrollment ID: O20050214000191 |
Mailing Address | Practice Location Address |
---|---|
Kaye C Mickelson, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Kaye C Mickelson, MD 347 Smith Ave N, Suite 203, Saint Paul, MN 55102-2387 Ph: (651) 241-7733 |
Susan J Ditmanson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Suite 203, Saint Paul, MN 55102 Phone: 651-241-7733 | |
Christina Hyein Swallow, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 435 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-8500 Fax: 651-254-8504 | |
Sureshbabu N Ahanya, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 347 Smith Ave N, 204, Saint Paul, MN 55102 Phone: 651-241-6270 Fax: 651-220-5185 | |
Dr. David Jize Wen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 347 Smith Ave N, Suite 203, Saint Paul, MN 55102 Phone: 651-241-7733 Fax: 651-241-7798 | |
Joan E Kreider, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2635 University Ave Suite 160, Mail Stop 13901b, Saint Paul, MN 55114 Phone: 651-254-3500 Fax: 651-254-3699 | |
Whitney Lynn Lewandowski, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2635 University Ave W Ste 160, Saint Paul, MN 55114 Phone: 952-967-7960 | |
Dr. Shireen Elizabeth Desamlazaro, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2635 University Ave W Ste 160, Saint Paul, MN 55114 Phone: 651-254-3500 Fax: 651-254-2579 |