Michael Berres, MD | |
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | |
(763) 559-3779 | |
Not Available |
Full Name | Michael Berres |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 14700 28th Ave N Ste 20, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760019236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 30768 (Minnesota) | Secondary |
207L00000X | Anesthesiology | 69552 (Minnesota) | Primary |
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
Mailing Address | Practice Location Address |
---|---|
Michael Berres, MD Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779 | Michael Berres, MD 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-3779 |
Peter William Coleman, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 635-593-7797 Fax: 763-450-3986 | |
Dr. Jeffrey Mark Wise Ii, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Robby Singh Sikka, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N, Suite 20, Plymouth, MN 55447 Phone: 612-701-2080 | |
Dr. Kathryn Rose Teague, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Britta Anne Dosland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Zachary Dylan Blackstun, Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-7779 Fax: 763-450-3986 | |
Steven Beckley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N, 20, Plymouth, MN 55447 Phone: 763-559-3779 |