| Paul M Ditmanson, MD | |
|
Hwy 1 Box 497, Phs Indian Hospital, Red Lake, MN 56671 | |
| (218) 679-3912 | |
| (218) 679-0181 |
| Full Name | Paul M Ditmanson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Hwy 1 Box 497, Red Lake, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922181676 | NPI | - | NPPES |
| 476753500 | Medicaid | MN | |
| 30915 | Other | MN | MINNESOTA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30915 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul M Ditmanson, MD Hwy 1 Box 497, Phs Indian Hospital, Red Lake, MN 56671 Ph: (218) 679-3912 | Paul M Ditmanson, MD Hwy 1 Box 497, Phs Indian Hospital, Red Lake, MN 56671 Ph: (218) 679-3912 |
Dr. Mark Douglas Cunningham, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Highway 1, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0135 | |
John J Pieniazek, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Hwy 1, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181 |