| Mr Jun Manalo Herrera, MD | |
|
1406 Sixth Avenue North, St Cloud, MN 56303-1901 | |
| (612) 262-1166 | |
| Not Available |
| Full Name | Mr Jun Manalo Herrera |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1406 Sixth Avenue North, St Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396759569 | NPI | - | NPPES |
| 928151700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 43953 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jun Manalo Herrera, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Mr Jun Manalo Herrera, MD 1406 Sixth Avenue North, St Cloud, MN 56303-1901 Ph: (612) 262-1166 |
Mr. Jeffrey James Derr, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir Ste 1575, St. Cloud Hospital/plaza Rehabilitation, St Cloud, MN 56303 Phone: 320-229-4944 Fax: 320-229-5156 | |
Dr. Gregory A Schlosser, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, St Cloud, MN 56303 Phone: 320-229-4944 Fax: 320-229-5156 |