Mr Christopher Terrence Wall, MD | |
1575 Beam Ave, Maplewood, MN 55109-1126 | |
(651) 232-7348 | |
Not Available |
Full Name | Mr Christopher Terrence Wall |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1575 Beam Ave, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366626830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 52116 (Minnesota) | Primary |
207P00000X | Emergency Medicine | A102370 (California) | Secondary |
Entity Name | Winona Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
Entity Name | Emergency Care Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380 |
Entity Name | Welia Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher Terrence Wall, MD 800 E 28th St # Mr 11112, Minneapolis, MN 55407-3723 Ph: (612) 863-6590 | Mr Christopher Terrence Wall, MD 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 232-7348 |
Dr. Jaremy Dale Joy, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 651-232-6665 | |
Deborah L Abney Lidahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 | |
Zabrina Naomi Evens, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 612-863-6590 | |
Caroline Bailey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 785-640-9498 | |
Christine Ohl, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 612-863-6590 | |
Dr. Michael H Bambenek, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 612-439-1860 | |
Paul M Mccormick, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 651-232-6665 |