| Dr Janet Lynn Rasmussen Vraa, MD | |
|
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | |
| (651) 439-1234 | |
| (651) 275-3389 |
| Full Name | Dr Janet Lynn Rasmussen Vraa |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720234941 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 52039 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | South Lake Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027184 PECOS PAC ID: 3173500303 Enrollment ID: O20040706000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Janet Lynn Rasmussen Vraa, MD 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234 | Dr Janet Lynn Rasmussen Vraa, MD 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234 |
Dr. Stephen Mark Scallon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 | |
Dr. Danielle Marie Deanovich, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-702-1234 Fax: 651-275-3325 | |
Taylor Conroy Nottke, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Mollie Katherine Malaney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Jessica Lee Najarian-bell, Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 | |
Kathryn M.. Salvatore, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Dr. Karla J Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 |