Mikhail Nerone Dela Cruz Reyes, MD | |
11269 Jefferson Hwy N, Champlin, MN 55316-3123 | |
(763) 236-0600 | |
Not Available |
Full Name | Mikhail Nerone Dela Cruz Reyes |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 11269 Jefferson Hwy N, Champlin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619531407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 71590 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Mikhail Nerone Dela Cruz Reyes, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Mikhail Nerone Dela Cruz Reyes, MD 11269 Jefferson Hwy N, Champlin, MN 55316-3123 Ph: (763) 236-0600 |
Ms. Michelle Rose Wilkening, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Dr. Eftu Omer Boru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790 | |
Byron C Holth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Dr. John W. Apostol, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 | |
Dr. Gordon James Lester, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11349 Preserve Ln N, Champlin, MN 55316 Phone: 763-323-0527 | |
Allison R Hotujec, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-9626 |