Peter Kim, MD | |
200 University Ave E, Saint Paul, MN 55101-2507 | |
(651) 325-2307 | |
(651) 229-1713 |
Full Name | Peter Kim |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 21 Years |
Location | 200 University Ave E, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336381185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 54156 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gillette Childrens Specialty Hospital | Saint paul, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gillette Childrens Specialty Healthcare | 0547169211 | 52 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Gillette Childrens Specialty Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
Mailing Address | Practice Location Address |
---|---|
Peter Kim, MD 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 325-2307 | Peter Kim, MD 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 325-2307 |
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