Shawn Christopher Wedlund, CNP | |
200 University Ave E, Saint Paul, MN 55101-2507 | |
(651) 291-2848 | |
Not Available |
Full Name | Shawn Christopher Wedlund |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 200 University Ave E, Saint Paul, 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 |
---|---|---|---|
1922510007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2041452 (Minnesota) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 5458 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gillette Childrens Specialty Healthcare | 0547169211 | 52 |
Entity Name | Gillette Childrens Specialty Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
Mailing Address | Practice Location Address |
---|---|
Shawn Christopher Wedlund, CNP 8632 Savanna Oaks Bay Unit D, Woodbury, MN 55125-9551 Ph: () - | Shawn Christopher Wedlund, CNP 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 291-2848 |
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Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589 | |
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