Lisa M Guetzko, MD | |
919 Northland Dr, Princeton, MN 55371-2172 | |
(763) 389-3344 | |
Not Available |
Full Name | Lisa M Guetzko |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 919 Northland Dr, Princeton, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831388974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A108780 (California) | Secondary |
208000000X | Pediatrics | 55638 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Guetzko, MD 9855 Hospital Dr Ste 102b, Maple Grove, MN 55369-5021 Ph: (763) 581-5900 | Lisa M Guetzko, MD 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 |
James T Katter, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Amanda Torgeson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 |