| Dr Michael B Ainslie, MD | |
|
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
| (952) 993-3090 | |
| Not Available |
| Full Name | Dr Michael B Ainslie |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 3800 Park Nicollet Blvd, 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 |
|---|---|---|---|
| 1114902186 | NPI | - | NPPES |
| 853888300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 23228 (Minnesota) | Primary |
| Entity Name | Gillette Childrens Specialty Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael B Ainslie, MD 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: () - | Dr Michael B Ainslie, MD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3090 |
Patrick Mueller, Pediatrics Medicare: Medicare Enrolled Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3298 | |
Karna Lundquist, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3298 | |
Dr. Robert S Karasov, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 | |
Sara Mcglynn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-7346 | |
Dr. Michael D Hobbs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4832 W 27th St, St Louis Park, MN 55416 Phone: 952-217-6309 | |
Mark A Nammacher, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, 131, St Louis Park, MN 55426 Phone: 952-401-8290 Fax: 952-401-8243 |