| Philip M Wanzek, DO | |
|
3000 32nd Ave S, Fargo, ND 58103-6132 | |
| (701) 364-8000 | |
| Not Available |
| Full Name | Philip M Wanzek |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 13 Years |
| Location | 3000 32nd Ave S, Fargo, North Dakota |
| 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 |
|---|---|---|---|
| 1326301250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 56768 (Minnesota) | Secondary |
| 208800000X | Urology | 14669 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health | Fargo, ND | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 158 |
| Innovis Health Llc | 9931298155 | 509 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip M Wanzek, DO 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-4222 | Philip M Wanzek, DO 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
Conrad R Toni, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2301 Fax: 701-234-2130 | |
Roberta Stigen, NURSE PRACTITIONER Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Ali Mohamed Mahmoud, Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Ann Flinn, Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2301 | |
Eric Andrew Schommer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Kristina L Garrels, M.D. Urology Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2301 |