| Dr Larry Dean Kobriger, MD | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| (218) 847-0891 |
| Full Name | Dr Larry Dean Kobriger |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588653331 | NPI | - | NPPES |
| 5T132KO | Other | MN | BCBS |
| HP10785 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 37414 (Minnesota) | Primary |
| Entity Name | St. Joseph's Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20031209000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Dean Kobriger, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Dr Larry Dean Kobriger, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Nathan Brunken, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Rachel Redig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Carl N. Kaster, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dr. Abraham Stephen Campos, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Dr. Richard Emil Martin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0891 |