| Howard J Stang, MD | |
|
1430 Hwy 96 E, Mail Stop 32300a, White Bear Lake, MN 55110-7693 | |
| (651) 653-2100 | |
| (651) 653-2111 |
| Full Name | Howard J Stang |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1430 Hwy 96 E, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184698938 | NPI | - | NPPES |
| 961582200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25320 (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 |
|---|---|
| Howard J Stang, MD 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Howard J Stang, MD 1430 Hwy 96 E, Mail Stop 32300a, White Bear Lake, MN 55110-7693 Ph: (651) 653-2100 |
Dr. Padma Pallavi Yarrapureddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
William Wedin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Margaret Gast, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 | |
Roopa Sharma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Dr. Kathleen Elizabeth Bauer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Elsa N Keeler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E, Healthpartners Whine Bear Lake Clinic-mail Stop 32300a, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 |