Ralph H Herseth, MD | |
711 Delmore Dr, Roseau, MN 56751-1534 | |
(218) 463-1365 | |
Not Available |
Full Name | Ralph H Herseth |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 711 Delmore Dr, Roseau, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679664478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22023 (Minnesota) | Primary |
Entity Name | Altru Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
Mailing Address | Practice Location Address |
---|---|
Ralph H Herseth, MD Po Box 6002, Grand Forks, ND 58206-6002 Ph: (701) 780-5000 | Ralph H Herseth, MD 711 Delmore Dr, Roseau, MN 56751-1534 Ph: (218) 463-1365 |
Luis G Jain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Dr. Kenneth James Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 711 Delmore Dr - Altru Clinic/roseau, Roseau, MN 56751 Phone: 218-463-1365 Fax: 218-463-3928 | |
Dr. David A Brett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Amber Rose Dybdal Nielsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Dr. Annabi I Djalo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Delmore Dr, Roseau, MN 56751 Phone: 718-320-1950 | |
Robert J Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 |