| Kristine M Chaudet, MD | |
|
9900 13th Ave N Ste 2a, Plymouth, MN 55441-5069 | |
| (763) 525-0363 | |
| Not Available |
| Full Name | Kristine M Chaudet |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 9900 13th Ave N Ste 2a, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366972507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 271010 (Massachusetts) | Primary |
| Entity Name | Carolinas Pathology Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689628158 PECOS PAC ID: 3375529985 Enrollment ID: O20040625000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine M Chaudet, MD 9900 13th Ave N Ste 2a, Plymouth, MN 55441-5069 Ph: () - | Kristine M Chaudet, MD 9900 13th Ave N Ste 2a, Plymouth, MN 55441-5069 Ph: (763) 525-0363 |
Dr. Mark Steven Wilke, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 9900 13th Avenue N, Ste 2a, Plymouth, MN 55441 Phone: 763-525-0363 Fax: 763-525-0369 | |
Mr. Andrew Jon Larson, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 9900 13th Avenue North, Suite 2a, Plymouth, MN 55441 Phone: 763-525-0363 Fax: 763-525-0369 |