Serena L Rosen, | |
300 Lake Dr E, Chanhassen, MN 55317-9302 | |
(952) 993-4300 | |
Not Available |
Full Name | Serena L Rosen |
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Gender | Female |
Speciality | Pediatrics |
Location | 300 Lake Dr E, Chanhassen, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902882830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 42734 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Serena L Rosen, 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () - | Serena L Rosen, 300 Lake Dr E, Chanhassen, MN 55317-9302 Ph: (952) 993-4300 |
Dr. Erin Butterfield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 | |
Douglas Martin, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 | |
Dr. Sawyer Lee Clement, Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 | |
Karin L. Mulrooney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 Fax: 952-993-4320 |