Rolf F Ulvestad, MD | |
2211 Park Ave, Minneapolis, MN 55404-3711 | |
(612) 871-1144 | |
(612) 871-2012 |
Full Name | Rolf F Ulvestad |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 2211 Park Ave, 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 |
---|---|---|---|
1265434195 | NPI | - | NPPES |
0218007 | Other | MN | PREFERREDONE |
21000 | Other | MN | AMERICA'S PPO |
31311500 | Other | WI | MEDICAID - WISCONSIN |
62D66UL | Other | MN | BLUE SHIELD |
1000010 | Other | MN | MEDICA PRIMARY |
1005553 | Other | MN | MEDICA CHOICE |
102264 | Other | MN | UCARE |
729398400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 21818 (Minnesota) | Primary |
Entity Name | Ear Nose & Throat Specialty Care Of Minnesota Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336175744 PECOS PAC ID: 3274524020 Enrollment ID: O20051116000590 |
Mailing Address | Practice Location Address |
---|---|
Rolf F Ulvestad, MD 2211 Park Ave, Minneapolis, MN 55404-3711 Ph: (612) 871-1144 | Rolf F Ulvestad, MD 2211 Park Ave, Minneapolis, MN 55404-3711 Ph: (612) 871-1144 |
Jeffrey C. Manlove, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Richard M. Levinson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Robert H Maisel, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, P7, Minneapolis, MN 55415 Phone: 612-873-2424 | |
Sivakumar Chinnadurai, MD, MPH Otolaryngology Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave Ste 450, Minneapolis, MN 55404 Phone: 615-813-6000 | |
Samir Suresh Khariwala, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 516 Delaware St Se, Clinic 8a, Minneapolis, MN 55455 Phone: 612-625-7400 | |
Tina Chung-ting Huang, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, University Of Minnesota Physicians, Minneapolis, MN 55455 Phone: 612-626-5900 | |
Carrie E Flanagan, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 420 Delaware St Se, Mmc 293, Minneapolis, MN 55455 Phone: 612-625-7634 |