Nathan M Noznesky, MD | |
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
(218) 326-5000 | |
Not Available |
Full Name | Nathan M Noznesky |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952488991 | NPI | - | NPPES |
239260700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 24707 (Minnesota) | Primary |
Entity Name | Grand Itasca Clinic And Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
Mailing Address | Practice Location Address |
---|---|
Nathan M Noznesky, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 | Nathan M Noznesky, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 |
Daniel J Margo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1542 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-327-7973 Fax: 218-327-3245 | |
John A. Kole, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Jonathan James Germscheid, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 |