Lyle James Swenson, MD | |
927 Churchill St W, Stillwater, MN 55082 | |
(651) 439-1234 | |
(651) 430-8591 |
Full Name | Lyle James Swenson |
---|---|
Gender | Male |
Speciality | Internal Medicine - Interventional Cardiology |
Location | 927 Churchill St W, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679558977 | NPI | - | NPPES |
30744400 | Medicaid | WI | |
562382100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 24407 (Minnesota) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 24407 (Minnesota) | Secondary |
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 |
Mailing Address | Practice Location Address |
---|---|
Lyle James Swenson, MD 8170 33rd Ave, Ms: 211110q, Bloomington, MN 55425-4516 Ph: (651) 439-1234 | Lyle James Swenson, MD 927 Churchill St W, Stillwater, MN 55082 Ph: (651) 439-1234 |
Dr. Teresa Kay Gray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
Josephine O'gara, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
Dr. Joseph Carl Ardolf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 | |
Dr. Andrew Edward Dorwart, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
Dr. Martha Louise Sanford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
Thomas Russell Ii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12315 Otchipwe Ave N, Stillwater, MN 55082 Phone: 651-439-9188 | |
Kimberly A Anderson-uzpen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 |