| Ryan C Braunberger, | |
|
1200 S Columbia Rd, Grand Forks, ND 58201-4036 | |
| (701) 780-5000 | |
| Not Available |
| Full Name | Ryan C Braunberger |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1200 S Columbia Rd, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457812448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 24210 (North Dakota) | Primary |
| Entity Name | Yellowstone Pathologists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275684862 PECOS PAC ID: 8123012986 Enrollment ID: O20040413001758 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan C Braunberger, Po Box 860939, Minneapolis, MN 55486-0939 Ph: Not Available | Ryan C Braunberger, 1200 S Columbia Rd, Grand Forks, ND 58201-4036 Ph: (701) 780-5000 |
Mary Ann Sens, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1301 N Columbia Rd, Grand Forks, ND 58202 Phone: 701-777-2561 |
Dr. Shifteh Vahidi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477 |
Heidi Ann Jess, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd- Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-1561 Fax: 530-891-0134 |
Yan Xiang Xia, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Altru Hospital/health System, 1200 S. Columbia Road, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 607-735-4685 |
Dr. Mark Alan Koponen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, ND 58203 Phone: 701-777-6172 Fax: 701-777-3108 |
Kevin Tyler, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S. Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000 |
Laura A Raymond, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 |