| Christopher Alan Wall, MD | |
|
5255 Members Pkwy Nw, Rochester, MN 55901-8381 | |
| (507) 218-3701 | |
| (507) 258-5503 |
| Full Name | Christopher Alan Wall |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5255 Members Pkwy Nw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831160217 | NPI | - | NPPES |
| 115110000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 43819 (Minnesota) | Primary |
| Entity Name | St Croix Psychiatric LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Alan Wall, MD 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (763) 762-8800 | Christopher Alan Wall, MD 5255 Members Pkwy Nw, Rochester, MN 55901-8381 Ph: (507) 218-3701 |
Ms. Catherine Elizabeth Arnold, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Nathan Seven, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Ryan Patrick Coburn, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Luke Joseph Klugherz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Dr. Lawrence P Peterson, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 210 9th St Se, Rochester, MN 55904 Phone: 507-288-3443 |
Donald E Mc Alpine Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Shelley Ann Cross, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |