Consultative Health And Medicine, Pa | |
5520 Ridgewood Cv Minnetrista MN 55364-8239 | |
(612) 868-0136 | |
(952) 472-3837 |
Full Name | Consultative Health And Medicine, Pa |
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Speciality | Family Medicine |
Location | 5520 Ridgewood Cv, Minnetrista, Minnesota |
Authorized Official Name and Position | Chris James Johnson (PRESIDENT) |
Authorized Official Contact | 6128680136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Consultative Health And Medicine, Pa 5520 Ridgewood Cv Minnetrista MN 55364-8239 Ph: (612) 868-0136 | Consultative Health And Medicine, Pa 5520 Ridgewood Cv Minnetrista MN 55364-8239 Ph: (612) 868-0136 |
NPI Number | 1710281647 |
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Provider Enumeration Date | 01/06/2011 |
Last Update Date | 01/06/2011 |
Medicare PECOS PAC ID | 6305024373 |
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Medicare Enrollment ID | O20110621000580 |
Identifier | Type | State | Issuer |
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1710281647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 1547 (Minnesota) | Primary |
Provider Name | Lisa G Burns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578572806 PECOS PAC ID: 7810940780 Enrollment ID: I20050303000035 |
Provider Name | Megan M Danielson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720265184 PECOS PAC ID: 0840375820 Enrollment ID: I20080314000519 |
Provider Name | Daniel J Stein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669449674 PECOS PAC ID: 1759338213 Enrollment ID: I20080404000792 |
Provider Name | Chris J Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104800267 PECOS PAC ID: 1759448046 Enrollment ID: I20090401000416 |
Provider Name | Sadie A Iverson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174878763 PECOS PAC ID: 3173771144 Enrollment ID: I20120917000418 |
Provider Name | Annerhe C Erickson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568892198 PECOS PAC ID: 6406088517 Enrollment ID: I20140403001589 |
Provider Name | Kate Chies |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003230020 PECOS PAC ID: 7911139191 Enrollment ID: I20140423000443 |
Provider Name | Katilyn M Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043395361 PECOS PAC ID: 4082831136 Enrollment ID: I20140813001041 |
Provider Name | Kyndra Y Steffes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699129478 PECOS PAC ID: 6002115623 Enrollment ID: I20160504000502 |
Provider Name | Bree Yaeger Jensen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003268772 PECOS PAC ID: 0941595391 Enrollment ID: I20160824000606 |
Integrity Wound Care Mn Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4250 Creekside Way, Minnetrista, MN 55331 Phone: 320-582-7713 |