Norman Tracy Wolf, MD | |
1955 County Road B2 W, Roseville, MN 55113-2723 | |
(651) 635-0054 | |
(651) 635-0949 |
Full Name | Norman Tracy Wolf |
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Gender | Male |
Speciality | Family Medicine |
Location | 1955 County Road B2 W, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174597090 | NPI | - | NPPES |
514572400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 28650 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Mailing Address | Practice Location Address |
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Norman Tracy Wolf, MD 1955 County Road B2 W, Roseville, MN 55113-2723 Ph: (651) 635-0054 | Norman Tracy Wolf, MD 1955 County Road B2 W, Roseville, MN 55113-2723 Ph: (651) 635-0054 |
Keith Kenneth Krueger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2336 Lexington Ave N, Roseville, MN 55113 Phone: 651-631-0065 Fax: 651-631-0096 | |
Mrs. Michelle Elizabeth Easton, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 763-412-1993 | |
Dr. Alison J Forney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 651-765-5900 Fax: 651-765-5901 | |
Dr. Foung Lo, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2680 Snelling Ave N, Suite 200, Roseville, MN 55113 Phone: 651-326-1600 Fax: 651-326-1565 | |
Kari Lea Halvorson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 952-967-6620 | |
Andrew N Nottleson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 651-765-5900 Fax: 651-765-5901 |