| Dr Kendall Gregory Fancher, MD | |
|
722 Nw 7th St, Brainerd, MN 56401-2912 | |
| (218) 855-1115 | |
| Not Available |
| Full Name | Dr Kendall Gregory Fancher |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 722 Nw 7th St, Brainerd, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417484924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 72201 (Minnesota) | Primary |
| Entity Name | Solace Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801669924 PECOS PAC ID: 9830540624 Enrollment ID: O20240611002841 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kendall Gregory Fancher, MD 4801 Veterans Dr, Saint Cloud, MN 56303-2015 Ph: (320) 252-1670 | Dr Kendall Gregory Fancher, MD 722 Nw 7th St, Brainerd, MN 56401-2912 Ph: (218) 855-1115 |
Christa A Eickhoff, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101 Fax: 218-828-2892 | |
Dr. Eric Ryan Fenstad, M.D., MSC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-855-5280 | |
Dr. Vishnuteja V Devalla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Paul Milloy, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-825-7100 | |
Hong Li, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Dr. Tyler John Dunphy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Ronald Halvorson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9919 Cove Pointe Rd, Brainerd, MN 56401 Phone: 218-828-7100 |