| Dr Roseann Ekstrom, MD | |
|
911 Northland Dr, Princeton, MN 55371-2172 | |
| (763) 389-1313 | |
| Not Available |
| Full Name | Dr Roseann Ekstrom |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 911 Northland Dr, Princeton, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265687438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 49710 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roseann Ekstrom, MD 911 Northland Dr, Princeton, MN 55371-2172 Ph: () - | Dr Roseann Ekstrom, MD 911 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-1313 |
Alex M. Basara, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Brendan M Meyer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Dr. Zahn Raubenheimer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Karl Koivisto, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 |