| Dr Crystal Stardust Cordell, MD | |
|
1000 N Oak Ave, Marshfield, WI 54449-5703 | |
| (715) 387-5511 | |
| Not Available |
| Full Name | Dr Crystal Stardust Cordell |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1000 N Oak Ave, Marshfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861712143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0007X | Pathology - Molecular Genetic Pathology | 69444 (Wisconsin) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 69444 (Wisconsin) | Primary |
| Entity Name | S Wilson Diagnostic Pathology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043347297 PECOS PAC ID: 6204931835 Enrollment ID: O20070410000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Crystal Stardust Cordell, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Dr Crystal Stardust Cordell, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 |
Dr. Jonathan Eugene Cutlan, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Donald J Schreiber, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Gene R Shaw, MD Pathology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Ms. Sophie Suzanne Arbefeville, MD Pathology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Deepa Bassi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Jeffrey M Resnick, MD Pathology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Tajinder Singh Bisla, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 |