Ronald C Dorman, MD | |
400 S Minnesota St, Crookston, MN 56716-1808 | |
(218) 281-9100 | |
Not Available |
Full Name | Ronald C Dorman |
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Gender | Male |
Speciality | Family Medicine |
Location | 400 S Minnesota St, Crookston, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750472767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37334 (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 |
---|---|
Ronald C Dorman, MD Po Box 6002, Grand Forks, ND 58206-6002 Ph: (701) 780-5000 | Ronald C Dorman, MD 400 S Minnesota St, Crookston, MN 56716-1808 Ph: (218) 281-9100 |
Rose Bn Brandt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 | |
Lauren Rose, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 Fax: 218-585-6142 | |
Anthony Duncan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S. Minnesota St., Crookston, MN 56716 Phone: 218-281-9100 | |
Mr. Erik J Kanten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 Fax: 218-281-9590 | |
Ms. Aura Azarcon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 S. Minnesota St., Crookston, MN 56716 Phone: 218-281-9100 |