| Dr Stacey Lynn Gutman, MD | |
|
512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 | |
| (218) 879-4641 | |
| (218) 878-7081 |
| Full Name | Dr Stacey Lynn Gutman |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 512 Skyline Blvd Ste 1, Cloquet, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730447251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R2933 (Kentucky) | Secondary |
| 208600000X | Surgery | MD21753 (Maine) | Secondary |
| 208600000X | Surgery | 77119 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital | Cloquet, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Memorial Hospital Association | 0042129991 | 37 |
| Entity Name | Community Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Lynn Gutman, MD 24 Miles Center Way, Damariscotta, ME 04543-4067 Ph: (207) 563-4252 | Dr Stacey Lynn Gutman, MD 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 Ph: (218) 879-4641 |
Dr. Brance E Modin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 | |
Dr. Steven Buster Vopat, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-878-7626 Fax: 218-878-7650 | |
Dr. Bethany Anne Nyland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-4641 |