Danielle Wissink, | |
2270 Ford Parkway Suite 200, St Paul, MN 55116 | |
(651) 696-5000 | |
Not Available |
Full Name | Danielle Wissink |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2270 Ford Parkway Suite 200, St Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396421236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13137 (Minnesota) | Primary |
Provider Name | Fairview Express Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Provider Name | Healtheast Outpatient Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
Mailing Address | Practice Location Address |
---|---|
Danielle Wissink, 2257 Evenson Dr, Onalaska, WI 54650 Ph: (608) 799-0803 | Danielle Wissink, 2270 Ford Parkway Suite 200, St Paul, MN 55116 Ph: (651) 696-5000 |
Mrs. Sharon R Altman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 W Exchange St, St Joseph Hospital, St Paul, MN 55102 Phone: 651-232-3000 | |
Seth Sibunka, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Smith Ave N, Suite 120, St Paul, MN 55102 Phone: 651-241-7560 Fax: 651-241-7561 | |
Erica Elam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-241-8183 |