| Dr Matthew M Kang, MD | |
|
640 Jackson St - Mc 11503g, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | |
| (651) 495-6600 | |
| (952) 883-9677 |
| Full Name | Dr Matthew M Kang |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 640 Jackson St - Mc 11503g, St. Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427134865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2009005446 (Missouri) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew M Kang, MD 8170 33rd Ave S, Ms21110q, Minneapolis, MN 55425-4516 Ph: (651) 495-6600 | Dr Matthew M Kang, MD 640 Jackson St - Mc 11503g, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 Ph: (651) 495-6600 |
Randy S Twito, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 435 Phalen Blvd, Healthpartners Speciality Center 435, St. Paul, MN 55130 Phone: 651-254-8300 Fax: 651-254-8379 | |
Dr. Gavin T Pittman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St - Mc 11503l, Healthpartners Regionsl Specialty Clinics, St. Paul, MN 55101 Phone: 651-254-2005 Fax: 651-254-1519 | |
Christina M Ward, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd - Ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-8290 Fax: 651-254-8299 | |
Walter Huu Truong, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 200 University Ave E., St. Paul, MN 55101 Phone: 651-578-5197 | |
Dr. Thomas A Lange, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 435 Phalen Blvd - Ms 51103h, Healthpartners Specialty Center 435, St. Paul, MN 55130 Phone: 651-254-8300 Fax: 651-254-8379 |