| Daniel D Fordahl, MD | |
|
919 Northland Dr, Princeton, MN 55371-2172 | |
| (763) 389-3344 | |
| Not Available |
| Full Name | Daniel D Fordahl |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 919 Northland Dr, Princeton, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205889904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34526 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Josephs Medical Center | 8224948443 | 226 |
| Entity Name | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel D Fordahl, MD 919 Northland Dr, Princeton, MN 55371-2172 Ph: () - | Daniel D Fordahl, MD 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 |
Paul Larson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Dr. Clifford M Matushin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Nancy Meryhew, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Sara Suzanne Kemp, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 Fax: 763-389-6306 | |
Hung Canh Le, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 |