| Leif Per-alden Sundberg, PA-C | |
|
4786 Banning Ave, White Bear Lake, MN 55110-3264 | |
| (651) 426-6402 | |
| (651) 429-3402 |
| Full Name | Leif Per-alden Sundberg |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 4786 Banning Ave, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013592708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13719 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Healthservices Minnesota Pa Dba Entira Family Clinics | 1355369018 | 58 |
| Mailing Address | Practice Location Address |
|---|---|
| Leif Per-alden Sundberg, PA-C 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 Ph: (651) 772-1572 | Leif Per-alden Sundberg, PA-C 4786 Banning Ave, White Bear Lake, MN 55110-3264 Ph: (651) 426-6402 |
Roger K Koopman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2730 County Road E E, White Bear Lake, MN 55110 Phone: 866-389-2727 | |
Rosalynn Vertiz-hackett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Alexander James Isabel, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2730 County Road E E, White Bear Lake, MN 55110 Phone: 952-835-9880 | |
Laura Elizabeth Driscoll, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4465 White Bear Pkwy, White Bear Lake, MN 55110 Phone: 651-653-0062 | |
Brooke Leigh Elvehjem, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4480 Centerville Rd, White Bear Lake, MN 55127 Phone: 651-484-2724 | |
Cherida Irene Mccall, CNM Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1430 Hwy 96 E, Mail Stop 32300a, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 |