| Kim A Maletta Shibley, MD | |
|
560 S Maple St Ste 130, Waconia, MN 55387-1753 | |
| (952) 442-2191 | |
| Not Available |
| Full Name | Kim A Maletta Shibley |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 560 S Maple St Ste 130, Waconia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184685042 | NPI | - | NPPES |
| 309325500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 37029 (Minnesota) | Primary |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim A Maletta Shibley, MD 560 S Maple St Ste 130, Waconia, MN 55387-1753 Ph: () - | Kim A Maletta Shibley, MD 560 S Maple St Ste 130, Waconia, MN 55387-1753 Ph: (952) 442-2191 |
Amy J Meath, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1598 | |
Andraya J Huldeen-tibbetts, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Dr. Erin Luann Chinnock, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 | |
Nancy K Cooley, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Dennis R Mohling, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Sarah A Freitas, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5960 |