| Dr Abraham Stephen Campos, MD | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| Not Available |
| Full Name | Dr Abraham Stephen Campos |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649684333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 7227 (Nebraska) | Secondary |
| 207P00000X | Emergency Medicine | 62307 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 67342-20 (Wisconsin) | Primary |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abraham Stephen Campos, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: () - | Dr Abraham Stephen Campos, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Nathan Brunken, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Rachel Redig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Carl N. Kaster, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dr. Larry Dean Kobriger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0891 | |
Dr. Richard Emil Martin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0891 |