Unknown Individual – Family Medicine Physician, NPI 1801887609
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1st Street Northeast, New Prague, Le Sueur County, Minnesota, 56071, United States
NEW PRAGUE, MN 560712215
Phone: (952) 758-2535
Fax: (952) 548-6160
Type: Location
809, Gooseberry Lane, New Prague, Scott County, Minnesota, 56071, United States
NEW PRAGUE, MN 560712044
Phone: (952) 758-2535
Fax: (952) 548-6160
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56071)
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