Mary C Wiczek, APRN,CNP | |
2420 W Division St, Saint Cloud, MN 56301-3926 | |
(866) 389-2727 | |
Not Available |
Full Name | Mary C Wiczek |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2420 W Division St, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962003277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7722 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Memorial Health Care | 0042123028 | 474 |
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | North Memorial Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Mailing Address | Practice Location Address |
---|---|
Mary C Wiczek, APRN,CNP 2420 W Division St, Saint Cloud, MN 56301-3926 Ph: (866) 389-2727 | Mary C Wiczek, APRN,CNP 2420 W Division St, Saint Cloud, MN 56301-3926 Ph: (866) 389-2727 |
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