| Dr Michael A Dole, MD | |
|
3408 Dakota Ave S, St Louis Park, MN 55416-2312 | |
| (952) 924-1053 | |
| (952) 924-0254 |
| Full Name | Dr Michael A Dole |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3408 Dakota Ave S, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669471900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29325 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Dole, MD Po Box 43, Mr 10809, Minneapolis, MN 55440-0043 Ph: (612) 262-4813 | Dr Michael A Dole, MD 3408 Dakota Ave S, St Louis Park, MN 55416-2312 Ph: (952) 924-1053 |
Elisabeth Jean Mcclean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-883-1000 | |
Kari Miller, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3512 | |
Dr. Sara Johanna Mitlyng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6600 Excelsior Blvd, Suite 100, St Louis Park, MN 55426 Phone: 952-993-7700 | |
Dr. Wayne D Liebhard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025 | |
Michael Dukinfield, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426 Phone: 952-993-7700 | |
Jodi Milburn, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666 | |
Mary D Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707 |