| Daniel Lussenhop, MD | |
|
205 Wabasha St S, Saint Paul, MN 55107-1805 | |
| (651) 293-8100 | |
| Not Available |
| Full Name | Daniel Lussenhop |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 205 Wabasha St S, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861476491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 28547 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Lussenhop, MD 8170 33rd Ave S, Bloomington, MN 55425-4516 Ph: (651) 293-8100 | Daniel Lussenhop, MD 205 Wabasha St S, Saint Paul, MN 55107-1805 Ph: (651) 293-8100 |
Dr. Larry Ray Zobel, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 6w 08 3m Ctr, Saint Paul, MN 55144 Phone: 651-733-5181 Fax: 651-733-5152 | |
Dr. Francis Yogo Ngwa, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 627 Aurora Ave, Saint Paul, MN 55104 Phone: 414-975-3973 | |
Austin N Indritz, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1661 Saint Anthony Ave, Saint Paul, MN 55104 Phone: 651-842-5220 | |
Elizabeth Bonson, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 | |
Pei Mi, M.D, PH.D, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Mail Stop: 31300a, Saint Paul, MN 55107 Phone: 651-293-8269 | |
Dr. Lauren Veronica Benning, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1661 Saint Anthony Ave Fl 2, Saint Paul, MN 55104 Phone: 651-968-5300 | |
Dr. Karega Y Paisley, M.D.M.P.H Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8269 |