| Paul S Vietzen, | |
|
3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | |
| (952) 993-3653 | |
| Not Available |
| Full Name | Paul S Vietzen |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 3900 Park Nicollet Blvd, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851346753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 44862 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| 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 |
|---|---|
| Paul S Vietzen, 3800 Park Nicollet Blvd, Credentialing, Minneapolis, MN 55416-2527 Ph: () - | Paul S Vietzen, 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 Ph: (952) 993-3653 |
Jeffrey Mendeloff, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 | |
Andrew J K Smith, Surgery Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd #e500, Park Nicollet Clinic - Meadowbrook, St Louis Park, MN 55426 Phone: 952-993-7342 Fax: 952-993-2701 | |
Brian Grubbs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3017 | |
Dr. Christopher Jen-hung Chow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, Department Of Surgery, Meadowbrook W-200, St Louis Park, MN 55426 Phone: 952-993-3180 | |
Michael T Schueppert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010 | |
Dr. James Ho-ming Kong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5400 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-993-3150 Fax: 952-993-3611 | |
Colleen N Kuzj, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748 |