Unknown Individual – Cardiovascular Disease Physician, NPI 1316986474
Cardiovascular Disease Physician
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Provider Addresses for Unknown Individual
401 W Poplar St
Walla Walla, WA 993622846
Phone: (509) 897-2600
Fax: (509) 897-5747
Type: Location
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
DULUTH, MN 558051951
Phone: (218) 786-3433
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99362)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MN | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 37 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Nurse Practitioner | MN | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| Nurse Practitioner | MN | |
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Diagnostic Radiology | MN | |
| Nurse Practitioner | MN | |
| Hospitalist, Internal Medicine, Internal Medicine, Hospitalist | WI |
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