| Junao Wang, MD | |
|
7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 | |
| (763) 205-4843 | |
| (612) 416-2085 |
| Full Name | Junao Wang |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7766 Highway 65 Ne, Spring Lake Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972957710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 62951 (Minnesota) | Primary |
| Entity Name | Expanse - a Minnesota Mental Health Ketamine & Psychedelic Psychother |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528726775 PECOS PAC ID: 3779940937 Enrollment ID: O20230601002840 |
| Mailing Address | Practice Location Address |
|---|---|
| Junao Wang, MD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843 | Junao Wang, MD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843 |
Bruce H Field, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843 |
Katie Ellen Steen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843 Fax: 612-416-2085 |
Dr. John Lichtsinn, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843 Fax: 612-416-2085 |
Patricia Jean Dickmann, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843 Fax: 612-416-2085 |
Dr. Heather Elaine Swanson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843 Fax: 612-416-2085 |