| Spencer Dane Uetz, MD | |
|
4440 S. Washington St., Grand Forks, ND 58201 | |
| (701) 732-7000 | |
| (217) 545-6544 |
| Full Name | Spencer Dane Uetz |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 4440 S. Washington St., 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 |
|---|---|---|---|
| 1871152397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 125074211 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | 21128 (North Dakota) | Primary |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Dane Uetz, MD Po Box 13780, Grand Forks, ND 58208 Ph: (701) 780-1891 | Spencer Dane Uetz, MD 4440 S. Washington St., Grand Forks, ND 58201 Ph: (701) 732-7000 |
Benjamin Ray Campbell, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: Altru Professional Center, 4440 S Washington St, Grand Forks, ND 58201 Phone: 615-322-5000 | |
Glen Y Yoshida, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000 | |
Dr. Mark Strand, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St, Grand Forks, ND 58201 Phone: 701-732-7000 Fax: 701-780-1889 | |
Gregory C Lapp, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000 | |
Gwendolyn J. Beck, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 |