Dr Benoit D Tano, MD, PHD | |
3939 W 69th St Unit B, Edina, MN 55435-2001 | |
(952) 222-3879 | |
Not Available |
Full Name | Dr Benoit D Tano |
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Gender | Male |
Speciality | Internal Medicine - Allergy & Immunology |
Location | 3939 W 69th St Unit B, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457419616 | NPI | - | NPPES |
M4963 | Other | TEXAS MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | M4963 (Texas) | Secondary |
207RA0201X | Internal Medicine - Allergy & Immunology | PT11501 (North Dakota) | Primary |
Entity Name | Integrative Immunity Health System Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265802052 PECOS PAC ID: 7911209259 Enrollment ID: O20160105000050 |
Mailing Address | Practice Location Address |
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Dr Benoit D Tano, MD, PHD 2727 Midwest Dr, Onalaska, WI 54650-6758 Ph: (608) 782-2027 | Dr Benoit D Tano, MD, PHD 3939 W 69th St Unit B, Edina, MN 55435-2001 Ph: (952) 222-3879 |
Jonathan Avery Reynolds, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6401 France Ave S, Edina, MN 55435 Phone: 952-924-5000 | |
Christopher Stefonowicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 100, Edina, MN 55435 Phone: 952-832-8100 | |
Dr. Mohammad H Arbabi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6500 France Ave S, Edina, MN 55435 Phone: 952-924-8117 Fax: 844-422-7933 | |
Anne Marie Rosenberg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 France Ave S, Edina, MN 55435 Phone: 952-835-1311 | |
David Lewis Bowlin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6363 France Ave S, Suite 400, Edina, MN 55435 Phone: 952-920-2070 Fax: 952-920-7444 | |
Jody Kay Hargrove, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954 | |
Jeffrey Lee Wilson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954 |