Samuel Robert Goblirsch, MD | |
701 Dellwood St S, Cambridge, MN 55008-1920 | |
(612) 262-5000 | |
Not Available |
Full Name | Samuel Robert Goblirsch |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 701 Dellwood St S, Cambridge, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417123688 | NPI | - | NPPES |
20309 | Other | MN | RESIDENT PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 51489 (Minnesota) | Primary |
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 |
Entity Name | Avera Marshall |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
Entity Name | Winona Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
Entity Name | Northern Lights Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316581440 PECOS PAC ID: 6305278797 Enrollment ID: O20191125001002 |
Mailing Address | Practice Location Address |
---|---|
Samuel Robert Goblirsch, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Samuel Robert Goblirsch, MD 701 Dellwood St S, Cambridge, MN 55008-1920 Ph: (612) 262-5000 |
Nathaniel David Mclean, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Louis Sonstegard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 |