Dr Benjamin Gregory Selle, DO | |
402 E 2nd St, Duluth, MN 55805-1906 | |
(218) 786-4000 | |
(612) 863-6006 |
Full Name | Dr Benjamin Gregory Selle |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 402 E 2nd St, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699296756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101023622 (Michigan) | Secondary |
208600000X | Surgery | 5151013360 (Michigan) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 71160 (Minnesota) | Primary |
Entity Name | The Duluth Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | St Marys Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457393035 PECOS PAC ID: 6901706357 Enrollment ID: O20040112000118 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Gregory Selle, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Benjamin Gregory Selle, DO 402 E 2nd St, Duluth, MN 55805-1906 Ph: (218) 786-4000 |
Dustin Dean Lucarelli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St Ste P302, Duluth, MN 55805 Phone: 218-262-4881 | |
Jay Oliver Lenz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-1234 | |
Audrey Mie Park-skinner, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Steven Duane Eyer, Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Stephen James Huddleston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St, Ste. P303, Duluth, MN 55805 Phone: 218-249-6050 Fax: 218-240-6055 | |
Dr. Steven John Skube, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5439 | |
Dr. Bryan D Meyers, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 920 E 1st St, Ste P302, Duluth, MN 55805 Phone: 218-249-7950 |