| Dr Ryan David Horazdovsky, MD | |
|
1700 Saint Francis Ave, Shakopee, MN 55379-5582 | |
| (952) 831-8742 | |
| Not Available |
| Full Name | Dr Ryan David Horazdovsky |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1700 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417196148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 51370 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Tria Orthopaedic Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan David Horazdovsky, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: Not Available | Dr Ryan David Horazdovsky, MD 1700 Saint Francis Ave, Shakopee, MN 55379-5582 Ph: (952) 831-8742 |
Dr. David Conrad Carlson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379 Phone: 952-403-3399 Fax: 952-403-3390 |
Grant William Mathison, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 |
Dr. Darren F Larson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-3230 Fax: 952-993-7755 |