| Dr Thomas J Viren, MD | |
|
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
| (218) 326-5000 | |
| Not Available |
| Full Name | Dr Thomas J Viren |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699745331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 44286 (Minnesota) | Primary |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas J Viren, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 | Dr Thomas J Viren, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 |
Nathan R Tiwari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 | |
Bradford Wankhede Langenfeld, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-999-1442 Fax: 218-999-1461 | |
Dr. Michael D. Johnson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 |