Dr Iaroslav Kondriuk, MD | |
1406 6th Ave N, Saint Cloud, MN 56303-1900 | |
(320) 251-2700 | |
Not Available |
Full Name | Dr Iaroslav Kondriuk |
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Gender | Male |
Speciality | Internal Medicine - Critical Care Medicine |
Location | 1406 6th Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518583046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 78202 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
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Dr Iaroslav Kondriuk, MD Po Box 2132, Saint Cloud, MN 56302-2132 Ph: () - | Dr Iaroslav Kondriuk, MD 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 251-2700 |
Bradley E Currier, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-240-2205 Fax: 320-229-5174 | |
Bharath Manu Akkara Veetil, MBBS Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Kamiab Delfanian, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303 Phone: 320-229-5099 Fax: 320-229-5171 | |
Jyh-yau Tsaur, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
John D Olsen, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Mark J Martone, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Matthew Eggebrecht, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |