| Stephen Leonard Bloom, | |
|
400 E 3rd St, Duluth, MN 55805-1951 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Stephen Leonard Bloom |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 400 E 3rd St, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245269695 | NPI | - | NPPES |
| 704487900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 20725 (Minnesota) | Primary |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Leonard Bloom, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Stephen Leonard Bloom, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Kirsten Ma Indrelie, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 Fax: 504-988-1846 | |
Dr. Andrea R Lays, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Scott William Johnson, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Haley Marie Meyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Aimee Nelson Van Straaten, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 E 1st St, Lower Level, Duluth, MN 55805 Phone: 218-722-5148 | |
Kelly Jo Greenleaf, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3800 | |
William Gary Turner, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 |