Philip Bruce Imholte, MD | |
1601 Golf Course Road, Grand Rapids, MN 55744 | |
(218) 326-5000 | |
(218) 999-1380 |
Full Name | Philip Bruce Imholte |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 18 Years |
Location | 1601 Golf Course Road, Grand Rapids, 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 |
---|---|---|---|
1760604623 | NPI | - | NPPES |
1760604623 | Other | MEDICA | |
17P85IM | Other | MN | BCBS |
244940000 | Medicaid | MN | |
P00438363 | Other | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 49754 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Itasca Clinic And Hospital | 8123939550 | 115 |
Entity Name | Grand Itasca Clinic And Hospital |
---|---|
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 |
---|---|
Philip Bruce Imholte, MD 1601 Golf Course Road, Grand Rapids, MN 55744 Ph: (218) 326-5000 | Philip Bruce Imholte, MD 1601 Golf Course Road, Grand Rapids, MN 55744 Ph: (218) 326-5000 |
Dr. Patricia C. Carlin-janssen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Anne Eileen Tofte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Edwin A. Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Kristin A Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 409 Se 13th St, Grand Rapids, MN 55744 Phone: 218-326-9100 Fax: 218-326-9200 | |
Dr. Timothy J. Pehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Michael B. Liebe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Arie Degrio, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-999-1442 Fax: 218-999-1461 |