Advancements In Allergy And Asthma Care Ltd | |
12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 | |
(952) 546-6866 | |
(952) 512-0038 |
Full Name | Advancements In Allergy And Asthma Care Ltd |
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Speciality | Clinic/Center |
Location | 12450 Wayzata Blvd, Minnetonka, Minnesota |
Authorized Official Name and Position | Michael Ross Wexler (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 9525466866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advancements In Allergy And Asthma Care Ltd 12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 Ph: (952) 546-6866 | Advancements In Allergy And Asthma Care Ltd 12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 Ph: (952) 546-6866 |
NPI Number | 1619994696 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9830176502 |
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Medicare Enrollment ID | O20040630000943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619994696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Michael R Wexler |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1093732984 PECOS PAC ID: 9032196704 Enrollment ID: I20040630000926 |
Provider Name | Debra J Peterson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356450860 PECOS PAC ID: 5597891846 Enrollment ID: I20100326000054 |
Provider Name | Micah Levine Karasov |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1922493733 PECOS PAC ID: 9830455179 Enrollment ID: I20201021002833 |
Provider Name | Elizabeth B Voigt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750018677 PECOS PAC ID: 5092184952 Enrollment ID: I20221215001494 |
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