| Dr Dana M Carlson, MD | |
|
9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | |
| (763) 780-6699 | |
| (763) 420-0506 |
| Full Name | Dr Dana M Carlson |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 9825 Hospital Dr, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740255884 | NPI | - | NPPES |
| 269320800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 38509 (Minnesota) | Primary |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dana M Carlson, MD 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 Ph: (763) 780-6699 | Dr Dana M Carlson, MD 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 Ph: (763) 780-6699 |
Dr. Adrianne L. Bowen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Dr. Kyle R Barker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Archana Ramaswamy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Corey J Stennes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Jonathan C Gipson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Dr. Crystal Fialova Lumi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15552 68th Pl N, Maple Grove, MN 55311 Phone: 931-237-2265 Fax: 612-594-8998 | |
Dr. James K Croston, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0506 |