| Michael D Redman, MD | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Michael D Redman |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386648665 | NPI | - | NPPES |
| 34541900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 46873 (Wisconsin) | Primary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744108 PECOS PAC ID: 4284544255 Enrollment ID: O20040317001077 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Redman, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Michael D Redman, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Scott B Blanke, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9888 Fax: 608-392-9888 | |
Chelsea M Kruse, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Edwin M Overholt, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Mark James Ringstrom, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Steven L Overholt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Courtney Brynn Tipton, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Matthew T Sdano, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |