| Dr Richard Timothy Grossart, MD | |
| 1600 Miller Trunk Hwy, Duluth, MN 55811-5640 | |
| (218) 786-3392 | |
| Not Available | 
| Full Name | Dr Richard Timothy Grossart | 
|---|---|
| Gender | Male | 
| Speciality | Preventive Medicine - Occupational Medicine | 
| Location | 1600 Miller Trunk Hwy, Duluth, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740568690 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 68024 (Minnesota) | Primary | 
| Entity Name | The Duluth Clinic Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 | 
| Entity Name | Northern Pines Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Richard Timothy Grossart, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Richard Timothy Grossart, MD 1600 Miller Trunk Hwy, Duluth, MN 55811-5640 Ph: (218) 786-3392 | 
| Sue Ellen Mollner, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
| Anjali Kalra,  Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3392 | |
| Dr. Douglas M Wendland, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4702 Grand Ave, Duluth, MN 55807 Phone: 218-249-6822 Fax: 218-249-6828 |