| Keely Dinse, DO | |
|
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
| (952) 993-5000 | |
| (952) 932-6090 |
| Full Name | Keely Dinse |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 6500 Excelsior Blvd, St Louis 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 |
|---|---|---|---|
| 1811421902 | NPI | - | NPPES |
| 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 |
| 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 |
|---|---|
| Keely Dinse, DO 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Keely Dinse, DO 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5000 |
Heather Kirkham, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3123 | |
Robert William Werling, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1999 Fax: 952-993-1078 | |
Rao Fu Watson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Erick Samuel Jacobson-dunlop, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 |