Michael Thomas Lause, | |
1000 Radio Dr, Woodbury, MN 55125-8409 | |
(651) 495-6865 | |
Not Available |
Full Name | Michael Thomas Lause |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1000 Radio Dr, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952862088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 73696 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Michael Thomas Lause, 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Michael Thomas Lause, 1000 Radio Dr, Woodbury, MN 55125-8409 Ph: (651) 495-6865 |
Dr. Lauren Brin Hermans, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 Radio Dr, Woodbury, MN 55125 Phone: 651-495-6865 | |
Lori Randol Arnesen, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125 Phone: 651-578-2700 Fax: 651-578-7077 | |
Juan P Jaimes, M.D., M.S Dermatology Medicare: Accepting Medicare Assignments Practice Location: 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125 Phone: 651-578-2700 | |
Megan Wetzel Vesterfelt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Dr. Lydia Ioanna Turnbull, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125 Phone: 651-578-2700 | |
Katherine R Garrity, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 576 Bielenberg Dr Ste 200, Woodbury, MN 55125 Phone: 262-434-5000 |