Dr Bryan S Michalowicz, DDS, MS | |
2500 Como Avenue, St. Paul, MN 55108-1460 | |
(651) 429-2299 | |
(651) 429-6630 |
Full Name | Dr Bryan S Michalowicz |
---|---|
Gender | Male |
Speciality | Dentist - Periodontics |
Location | 2500 Como Avenue, 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 |
---|---|---|---|
1306909023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 10028 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Dr Bryan S Michalowicz, DDS, MS 2500 Como Avenue, St. Paul, MN 55108-1460 Ph: (651) 647-2500 | Dr Bryan S Michalowicz, DDS, MS 2500 Como Avenue, St. Paul, MN 55108-1460 Ph: (651) 429-2299 |
Dr. Michael Allen Kurkowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3500 N. Rice Street, St. Paul, MN 55126 Phone: 651-484-5331 | |
Benjamin Christopherson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 828 Hawthorne Ave. E, St. Paul, MN 55106 Phone: 651-774-2959 Fax: 651-774-1997 | |
Dr. Asmeret Tesfahun, DDS Dentist Medicare: Medicare Enrolled Practice Location: 450 Syndicate St N Suite 300, Healthpartners Midway Dental Clinic, St. Paul, MN 55104 Phone: 651-254-7373 Fax: 651-254-7383 | |
John R Grittner, Dentist Medicare: Medicare Enrolled Practice Location: 205 S Wabasha St, St. Paul, MN 55107 Phone: 651-293-8300 Fax: 651-293-8130 | |
Dr. Robert John Maley, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1150 Montreal Ave, St. Paul, MN 55116 Phone: 651-224-0001 | |
Dr. Gregory James Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1651 North Dale Street, St. Paul, MN 55117 Phone: 651-488-5888 Fax: 651-488-8425 |