Pawel P Stachowicz, MD | |
3005 Knox Ave S, Minneapolis, MN 55408-2542 | |
(612) 770-1995 | |
Not Available |
Full Name | Pawel P Stachowicz |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 3005 Knox Ave S, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699862490 | NPI | - | NPPES |
3843254000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | 39698 (Minnesota) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Pawel P Stachowicz, MD 2000 Plymouth Rd, Suite #260, Minnetonka, MN 55305-2366 Ph: (612) 360-6466 | Pawel P Stachowicz, MD 3005 Knox Ave S, Minneapolis, MN 55408-2542 Ph: (612) 770-1995 |
Nicholas Kim, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Richard H Tholen, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4825 Olson Memorial Hwy, Suite 200, Minneapolis, MN 55422 Phone: 763-545-0443 Fax: 763-545-2784 | |
Dr. Emma Janine Cordes, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-0697 | |
Mark Lovaas, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St Ste 401, Minneapolis, MN 55407 Phone: 612-863-0200 | |
Dr. Darlene Michele Sparkman, MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-3110 | |
Dr. Douglas L Gervais, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4825 Olson Memorial Hwy, #200, Minneapolis, MN 55422 Phone: 763-545-0443 Fax: 763-545-2784 |