| Dr Michael Boerner, MD | |
|
3605 Mayfair Ave, Hibbing, MN 55746-2935 | |
| (218) 262-3441 | |
| Not Available |
| Full Name | Dr Michael Boerner |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3605 Mayfair Ave, Hibbing, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336703503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 75073 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Boerner, MD 701 Park Ave, Minneapolis, MN 55415-1623 Ph: () - | Dr Michael Boerner, MD 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441 |
Dr. John S Shenk, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989 | |
Dr. William Charles Vincent, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6907 | |
Sandra Lea Hanson, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 | |
Dakota A Orvedal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-722-3700 | |
Laura Marie Stoiber, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 |