| Dr Bruce David Garbisch, MD | |
|
20 5th St Se, Cook, MN 55723-9702 | |
| (218) 666-5941 | |
| (218) 666-5099 |
| Full Name | Dr Bruce David Garbisch |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 20 5th St Se, Cook, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447349022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 48568 (Minnesota) | Primary |
| Entity Name | Cook Area Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174596027 PECOS PAC ID: 4880681303 Enrollment ID: O20040427001470 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce David Garbisch, MD 1747 Highway 25, Cook, MN 55723-8122 Ph: (218) 263-9698 | Dr Bruce David Garbisch, MD 20 5th St Se, Cook, MN 55723-9702 Ph: (218) 666-5941 |
Nicholas Brian Vidor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5102 | |
Harold D Johnston, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Medical, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 | |
Dr. Fred Lawrence Webber, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 | |
Lynne M Didrikson I, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 |