| Dr Vanessa Laraine Knoedler, MD | |
|
15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | |
| (952) 993-4500 | |
| (952) 993-4639 |
| Full Name | Dr Vanessa Laraine Knoedler |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 15111 Twelve Oaks Center Dr, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659678753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 125053178 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 54161 (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 | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vanessa Laraine Knoedler, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Vanessa Laraine Knoedler, MD 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 Ph: (952) 993-4500 |
Dr. Gregg Allan Teigen, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14001 Ridgedale Dr, Ste 200, Minnetonka, MN 55305 Phone: 952-249-2000 Fax: 952-249-2099 | |
Dr. Terri Sue Johnson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14001 Ridgedale Dr, Ste 200, Minnetonka, MN 55305 Phone: 952-249-2000 Fax: 952-249-2099 | |
Natalia Wiatros, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305 Phone: 952-249-2000 | |
Eric Locher, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 Phone: 952-993-4500 | |
Dr. Alesha N Roach, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305 Phone: 952-249-2000 | |
Dr. Katie Jean Toft, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14001 Ridgedale Dr, Suite 200, Minnetonka, MN 55305 Phone: 952-249-2000 Fax: 952-249-2099 | |
Dr. Kathryn Babich, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 Phone: 952-993-4500 |