| Dr Isaac Lee Hanson, DO | |
|
400 E 3rd St, Duluth, MN 55805-1951 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Dr Isaac Lee Hanson |
|---|---|
| Gender | Male |
| Speciality | Surgery - Trauma Surgery |
| Location | 400 E 3rd St, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598287039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | 75671 (Minnesota) | Primary |
| 208600000X | Surgery | 125.071355 (Illinois) | Secondary |
| 208600000X | Surgery | 77811 (Wisconsin) | Secondary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Isaac Lee Hanson, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Isaac Lee Hanson, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Dustin Dean Lucarelli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St Ste P302, Duluth, MN 55805 Phone: 218-262-4881 | |
Jay Oliver Lenz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-1234 | |
Audrey Mie Park-skinner, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Steven Duane Eyer, Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Stephen James Huddleston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St, Ste. P303, Duluth, MN 55805 Phone: 218-249-6050 Fax: 218-240-6055 | |
Dr. Steven John Skube, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5439 | |
Dr. Mark A Monte, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St, Ste P302, Duluth, MN 55805 Phone: 218-249-6050 |