Melissa Gunderson, MD | |
640 Jackson St, Saint Paul, MN 55101-2502 | |
(651) 495-6600 | |
Not Available |
Full Name | Melissa Gunderson |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 640 Jackson St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700445301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MT218324 (Pennsylvania) | Secondary |
208600000X | Surgery | 72183 (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 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
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Melissa Gunderson, MD 420 Delaware St Se, Mayo Mail Code 195, Minneapolis, MN 55455 Ph: (612) 626-2590 | Melissa Gunderson, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 495-6600 |
Juan Jose Blondet Teixeira, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 280 Smith Ave N, Suite 700, Saint Paul, MN 55102 Phone: 651-241-6600 | |
Brian S Myer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St # Ms 11502v, Saint Paul, MN 55101 Phone: 651-254-7980 Fax: 651-254-7990 | |
Sarah Storrs, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-7980 Fax: 651-254-7990 | |
Dr. James Adam Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Ste. 400, Saint Paul, MN 55102 Phone: 651-290-0133 | |
Richard S Gregory, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Suite 200, Saint Paul, MN 55102 Phone: 651-241-6550 Fax: 651-241-6586 | |
Dr. Diane S Ogren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 310 Smith Ave N, Saint Paul, MN 55102 Phone: 952-843-4333 Fax: 952-843-4301 | |
Dr. Robert Elliott Bulander Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11502v, Saint Paul, MN 55101 Phone: 651-254-3136 Fax: 651-254-1480 |