| Mary E Wahl, MD | |
|
303 Nicollet Blvd, Burnsville, MN 55337 | |
| (952) 892-8770 | |
| Not Available |
| Full Name | Mary E Wahl |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 303 Nicollet Blvd, Burnsville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194781278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32447 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Wahl, MD 303 E Nicollet Blvd, Burnsville, MN 55337-4522 Ph: () - | Mary E Wahl, MD 303 Nicollet Blvd, Burnsville, MN 55337 Ph: (952) 892-8770 |
Daniel Bret Frechette, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2000 | |
Krishnakumari G Pallegar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-8770 | |
Zhen Zhen Luo, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 | |
Lynn Janette Koch, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 303 Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-8770 | |
Derek William Eklund, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2436 | |
Dr. Sophia Asako Teraoka Parente, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2000 |