Philip M Ditmanson, MD | |
166 4th St E, Saint Paul, MN 55101-1421 | |
(651) 292-2013 | |
(651) 292-2204 |
Full Name | Philip M Ditmanson |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 166 4th St E, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528046729 | NPI | - | NPPES |
091519000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 36263 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578507513 PECOS PAC ID: 4587573613 Enrollment ID: O20031218000417 |
Mailing Address | Practice Location Address |
---|---|
Philip M Ditmanson, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: (651) 292-2013 | Philip M Ditmanson, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: (651) 292-2013 |
Michael S Rosenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Joseph H Tashjian, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Dr. Lorraine Laroy, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 Fax: 651-292-2136 | |
Dr. Paul Robert Oler Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 | |
Christopher A Jackson, MD Radiology Medicare: Medicare Enrolled Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Mckinley Cribbs Lawson, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 | |
Kathryn E. Farniok, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 345 Sherman St, Saint Paul, MN 55102 Phone: 651-251-5500 Fax: 651-251-5555 |