| Bradford Wankhede Langenfeld, MD | |
|
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
| (218) 999-1442 | |
| (218) 999-1461 |
| Full Name | Bradford Wankhede Langenfeld |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811350093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 67373 (Minnesota) | Primary |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Minnesota Valley Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20040301000309 |
| Entity Name | Sibley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740240225 PECOS PAC ID: 3870722499 Enrollment ID: O20140418000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Wankhede Langenfeld, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: () - | Bradford Wankhede Langenfeld, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 999-1442 |
Dr. Thomas J. Viren, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Michael D. Johnson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 |