| George A Portilla, MD | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| (218) 847-0881 |
| Full Name | George A Portilla |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245287010 | NPI | - | NPPES |
| 16691B1 | Other | MN | MNBS # |
| 1700491 | Other | MN | MEDICA # |
| 1669B2 | Other | MN | MNBS # |
| MN200018 | Other | MN | LHS/BANNERHEALTH # |
| 036267100 | Medicaid | MN | |
| 572128 | Other | MN | AMERICA'S PPO/ARAZ # |
| HP25820 | Other | MN | HEALTHPARTNERS # |
| 13280 | Medicaid | MN | |
| 142047 | Other | MN | UCARE # |
| 16691PO | Other | MN | MNBS # |
| 2611 | Other | MN | NDBS # |
| DA9031015667 | Other | MN | PREFERRED ONE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 27750 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George A Portilla, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | George A Portilla, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Travis David Swartz, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Avenue, Eh St Mary's Detroit Lakes Clinic, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Mitchell B Goldstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Randall J. Bolar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Shang-yee S Yeh, MD Surgery Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2347 |