Micah Paul Niermann, MD | |
200 University Ave E, Saint Paul, MN 55101 | |
(651) 291-2848 | |
(651) 602-6885 |
Full Name | Micah Paul Niermann |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 200 University Ave E, 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 |
---|---|---|---|
1639213994 | NPI | - | NPPES |
H400537804 | Other | MN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 17822 (Minnesota) | Secondary |
207R00000X | Internal Medicine | 17822 (Minnesota) | Primary |
Entity Name | Gillette Childrens Specialty Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
Mailing Address | Practice Location Address |
---|---|
Micah Paul Niermann, MD 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 291-2848 | Micah Paul Niermann, MD 200 University Ave E, Saint Paul, MN 55101 Ph: (651) 291-2848 |
Wojciech Kraszkiewicz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Nicholas Charles Boysen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Joel E Money, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-290-0133 Fax: 651-241-2910 | |
Nathan M Frink, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1690 University Ave W, Suite 570, Saint Paul, MN 55104 Phone: 651-232-4800 Fax: 651-232-4899 | |
Dr. Andrew Caraganis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676 | |
Dr. Patrick George Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 | |
Anthony Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 |