Manuel Roman, MD | |
1455 Saint Francis Ave, Shakopee, MN 55379-3374 | |
(952) 403-3000 | |
Not Available |
Full Name | Manuel Roman |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1455 Saint Francis Ave, Shakopee, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649214982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 39201 (Minnesota) | Primary |
Entity Name | Suburban Emergency Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173628 PECOS PAC ID: 8325950975 Enrollment ID: O20031103000223 |
Mailing Address | Practice Location Address |
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Manuel Roman, MD Po Box 46100, Plymouth, MN 55446-0100 Ph: (763) 553-9920 | Manuel Roman, MD 1455 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 403-3000 |
James S Parker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-403-3000 | |
Dr. Joseph C Mayerle, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1455 Saint Francis Ave, St Francis Regional Medical Center Emergency Department, Shakopee, MN 55379 Phone: 952-428-3000 | |
Kyle E Kingsley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-403-3000 | |
Mark Danahy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-403-3000 | |
Dr. Jonathan Cooper Pohland, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 Saint Francis Ave, St Francis Regional Medical Center, Shakopee, MN 55379 Phone: 952-403-3000 Fax: 952-403-3820 | |
Brian C Clarkowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-403-3000 |