| Katherine Tingting Chang, MD | |
|
9855 Hospital Dr Ste 275, Maple Grove, MN 55369-4778 | |
| (952) 993-3282 | |
| Not Available |
| Full Name | Katherine Tingting Chang |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 9855 Hospital Dr Ste 275, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366860108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD187417 (Oregon) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 71097 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Tingting Chang, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Katherine Tingting Chang, MD 9855 Hospital Dr Ste 275, Maple Grove, MN 55369-4778 Ph: (952) 993-3282 |
Kathryn G Flory, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Christine Suzanne Goudge Walker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 15800 95th Ave N, Park Nicollet - Dept Of Ob/gyn, Maple Grove, MN 55369 Phone: 952-993-3282 | |
Katie Corcoran, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Dr. Sarah A Wernimont, M.D., PH.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Dr. Brigette Beth Ritter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15800 95th Ave N, Park Nicollet Maple Grove, Maple Grove, MN 55369 Phone: 952-993-3282 Fax: 952-993-1425 | |
Kristin M Lyerly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9855 Hospital Dr, Maple Grove, MN 55369 Phone: 952-993-3282 | |
Leslee J Jaeger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 763-581-1100 |