| Chandler William Rundle, MD | |
|
909 Fulton St Se, Minneapolis, MN 55455-4800 | |
| (612) 273-8383 | |
| Not Available |
| Full Name | Chandler William Rundle |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 909 Fulton St Se, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144875543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 80179 (Minnesota) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 80179 (Minnesota) | Primary |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler William Rundle, MD 516 Delaware St Se # 98, Minneapolis, MN 55455-0356 Ph: () - | Chandler William Rundle, MD 909 Fulton St Se, Minneapolis, MN 55455-4800 Ph: (612) 273-8383 |
Andrea Lynn Bershow, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 516 Delaware St Se, 4-240, Phillips-wangensteen Bldg., Minneapolis, MN 55455 Phone: 612-625-8625 Fax: 612-624-6678 | |
Richard D Steinberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454 Phone: 612-371-1600 Fax: 612-371-1732 | |
Kristen Paige Hook, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3316 W 66th St Ste 200, Minneapolis, MN 55435 Phone: 952-920-3808 Fax: 952-920-8899 | |
Timothy Allen, MD Dermatology Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 Fax: 612-873-1928 | |
Dr. Sara Anne Hylwa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Dr. Maria Kramarczuk Hordinsky, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 516 Delaware Street Se, Clinic 5a, Dermatology Clinic, Minneapolis, MN 55455 Phone: 612-625-5656 Fax: 612-672-7422 |