| Dr Patrick John Scanlon, MD | |
| 
					420 E 1st St, Duluth, MN 55805-1901  | |
| (218) 786-8364 | |
| Not Available | 
| Full Name | Dr Patrick John Scanlon | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Vascular & Interventional Radiology | 
| Location | 420 E 1st St, Duluth, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881129674 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 73317 (Minnesota) | Primary | 
| Entity Name | The Duluth Clinic Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229  | 
| Entity Name | Stevens Community Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417105552 PECOS PAC ID: 3678475852 Enrollment ID: O20040127000493  | 
| Entity Name | Noran Neurological Clinic, Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710098306 PECOS PAC ID: 3971497389 Enrollment ID: O20040209000324  | 
| Entity Name | St Francis Regional Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408  | 
| Entity Name | Warren Community Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073516357 PECOS PAC ID: 2264408566 Enrollment ID: O20040908000953  | 
| Entity Name | Allina Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Patrick John Scanlon, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364  | Dr Patrick John Scanlon, MD 420 E 1st St, Duluth, MN 55805-1901 Ph: (218) 786-8364  | 
Bruce James Derauf,  Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364  | |
Mrs. Rebecca Lynn Kuntz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 925 E Superior St, Suite 109, Duluth, MN 55802 Phone: 218-722-3700 Fax: 218-722-8705  | |
Dr. Matthew Steven Wagner, MD Radiology Medicare: Medicare Enrolled Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364  | |
Kenneth Dornfeld, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 East 3rd Street, Duluth, MN 55805 Phone: 218-786-8364  | |
Dr. William E. Johnson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 925 E Superior St, Suite109, Duluth, MN 55802 Phone: 218-722-3700 Fax: 218-722-8705  | |
Dr. Ryan Patrick Wippler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364  | |
Michael Edward Ryan,  Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364  |