| Mary Z Miley, | |
|
3007 Harbor Ln N, Plymouth, MN 55447-5103 | |
| (952) 993-8900 | |
| Not Available |
| Full Name | Mary Z Miley |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3007 Harbor Ln N, 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 |
|---|---|---|---|
| 1518944693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32893 (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 |
|---|---|
| Mary Z Miley, 6465 Wayzata Blvd, Suite 210, St Louis Park, MN 55426-1728 Ph: () - | Mary Z Miley, 3007 Harbor Ln N, Plymouth, MN 55447-5103 Ph: (952) 993-8900 |
Erica N. Roberson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N, #300, Plymouth, MN 55446 Phone: 612-871-1145 Fax: 612-870-5491 | |
Dr. Thomas John Kaminsky, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 300, Plymouth, MN 55446 Phone: 612-871-1145 Fax: 612-870-5491 | |
Alfred P. Chiang, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Campus Dr, Suite 100, Plymouth, MN 55441 Phone: 763-519-0634 Fax: 763-519-0636 | |
Mr. Bradley Daniel Chmielewski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Campus Dr Ste 10, Plymouth, MN 55441 Phone: 763-559-2171 | |
Daniela T Ouzounova, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Campus Dr, Ste. 400, Plymouth, MN 55441 Phone: 763-577-7400 | |
Stephanie Norris, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 | |
Dr. Daniel Mark Van Handel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 300, Plymouth, MN 55446 Phone: 612-871-1145 Fax: 612-870-5491 |