| Mary Labib, MB BCH BAO | |
|
1025 Marsh St, Mankato, MN 56001-4752 | |
| (507) 624-4031 | |
| Not Available |
| Full Name | Mary Labib |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1025 Marsh St, Mankato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356079289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 74887 (Minnesota) | Primary |
| 207R00000X | Internal Medicine | 32624 (Minnesota) | Secondary |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Labib, MB BCH BAO Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 625-4031 | Mary Labib, MB BCH BAO 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 624-4031 |
Paul L Johnson, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
Alyson Leigh Jasper, DNAP, APRN, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
David J Egli, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
David J Plevak, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 Fax: 507-284-0120 | |
David E Werkmeister, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
Anne-marie P Avallone, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Robert Peter Diego, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 |