Olga Mikhaylovna Ter-grigoryan, | |
3500 Tower Ave, Superior, WI 54880-5335 | |
(715) 395-5454 | |
Not Available |
Full Name | Olga Mikhaylovna Ter-grigoryan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3500 Tower Ave, Superior, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700896420 | NPI | - | NPPES |
36005400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 15318-30 (Wisconsin) | Primary |
Entity Name | The Duluth Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245278209 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000120 |
Entity Name | St Marys Hospital Of Superior |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
Mailing Address | Practice Location Address |
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Olga Mikhaylovna Ter-grigoryan, 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 | Olga Mikhaylovna Ter-grigoryan, 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 |
Nicole Kristine-baur Bakken, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 | |
Marisa M Gehl, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N 28th St E, Superior, WI 54880 Phone: 218-249-5555 | |
Ms. Katie Lange Howard, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Elaina A Fischer, APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Kelly Page Sweet, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Jan Michael Broad, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Sandpiper Pl, Superior, WI 54880 Phone: 715-392-9192 | |
Kelly Kristine Parish-larson, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 |