Mark D Wojtowicz, MD | |
927 Churchill St W, Stillwater, MN 55082-6605 | |
(651) 430-4585 | |
Not Available |
Full Name | Mark D Wojtowicz |
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Gender | Male |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1013955350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 43829 (Minnesota) | Primary |
Entity Name | Valley Anesthesiology Consultants Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538112743 PECOS PAC ID: 8022075902 Enrollment ID: O20041213000330 |
Entity Name | Ams Maple Grove Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871913582 PECOS PAC ID: 8527287762 Enrollment ID: O20140919001422 |
Mailing Address | Practice Location Address |
---|---|
Mark D Wojtowicz, MD 14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835 Ph: (763) 559-3779 | Mark D Wojtowicz, MD 927 Churchill St W, Stillwater, MN 55082-6605 Ph: (651) 430-4585 |
Peter J Boosalis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 927 Churchill St W, Stillwater, MN 55082 Phone: 651-430-4585 | |
Dr. Monte Norgaard, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12747 53rd St N, Stillwater, MN 55082 Phone: 651-351-7079 |