| Dr Peter James Halvorson, MD | |
|
6341 University Ave Ne, Fridley, MN 55432-4946 | |
| (763) 572-5710 | |
| (763) 586-5888 |
| Full Name | Dr Peter James Halvorson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 6341 University Ave Ne, Fridley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831152008 | NPI | - | NPPES |
| HP53178 | Other | MN | HEALTHPARTNERS |
| 125173200 | Medicaid | MN | |
| 2365755 | Other | MN | AMERICA'S PPO |
| 1701444 | Other | MN | MEDICA |
| 1044101 | Other | MN | PREFERRED ONE |
| 488K8HA | Other | MN | BCBS OF MN |
| 7533292 | Other | MN | AETNA |
| 132905 | Other | MN | UCARE MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 47931 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter James Halvorson, MD 6401 University Ave Ne, Fridley, MN 55432-4341 Ph: (763) 572-5710 | Dr Peter James Halvorson, MD 6341 University Ave Ne, Fridley, MN 55432-4946 Ph: (763) 572-5710 |
Lorraine Woidylla, APRN, CNP Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-5000 Fax: 763-236-3433 | |
Dr. Daniel R Baker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432 Phone: 763-236-2045 Fax: 763-236-2044 | |
Dr. Dale Lee Cody, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 255, Fridley, MN 55432 Phone: 763-236-2500 Fax: 763-236-2505 | |
Dr. Laura Violet July, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 200, Fridley, MN 55432 Phone: 763-236-2045 Fax: 763-236-2044 | |
Dr. Frederick W Johnson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 200, Fridley, MN 55432 Phone: 763-236-2045 Fax: 763-236-2044 | |
Dr. Thomas Charles Tunberg, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5888 |