Keith Thomas Wenda, MD | |
500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2765 | |
(763) 786-6011 | |
Not Available |
Full Name | Keith Thomas Wenda |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 500 Osborne Rd Ne, Fridley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861452740 | NPI | - | NPPES |
769063100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 34988 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Mailing Address | Practice Location Address |
---|---|
Keith Thomas Wenda, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Keith Thomas Wenda, MD 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432-2765 Ph: (763) 786-6011 |
Lisa R Mattson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432 Phone: 763-236-2500 Fax: 763-236-2505 | |
Mary Zygmunt, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-786-6011 | |
Lex Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432 Phone: 763-236-2500 Fax: 763-236-2505 | |
Donald A Pavelka, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 500 Osborne Rd Ne, Suite 260, Fridley, MN 55432 Phone: 763-783-8155 Fax: 763-783-1373 | |
Dr. Nicholas W Hamel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432 Phone: 763-786-6011 | |
Dr. Cecil Emerson Bassett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5963 | |
Cheryl Lynn Cody Deets, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 150, Fridley, MN 55432 Phone: 763-236-2500 Fax: 763-236-2795 |