| Dr Wayne Donald Carlson, MD | |
|
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | |
| (651) 439-1234 | |
| (651) 439-1547 |
| Full Name | Dr Wayne Donald Carlson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730164880 | NPI | - | NPPES |
| 31578800 | Medicaid | WI | |
| 206382400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21455 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wayne Donald Carlson, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: (651) 439-1234 | Dr Wayne Donald Carlson, MD 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 Ph: (651) 439-1234 |
Matthew James Logan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N, Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 | |
Dr. Gary Arthur Williams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 | |
Katherine Swanson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Paula M. Hedin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
Kristen M Kajewski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
Catherine Marie Pollock, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 | |
Mr. Tou Sue Vang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-275-3325 |