| Stuart E Clive, MD | |
|
1025 Marsh St, Mankato, MN 56001-4752 | |
| (507) 625-4031 | |
| Not Available |
| Full Name | Stuart E Clive |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1025 Marsh St, Mankato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053396614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 40666 (Minnesota) | Primary |
| Entity Name | Weiser Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255364030 PECOS PAC ID: 5294704276 Enrollment ID: O20050124000126 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart E Clive, MD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 | Stuart E Clive, MD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 |
Benjamin D Knutson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-284-2511 | |
Dr. Tyler J Koonst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Robert Bosse, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 | |
David Joseph Gresback, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1025 Marsh St Dept Of, Mankato, MN 56001 Phone: 507-385-2610 | |
Dr. Linda Sara Russo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Michael R Gartner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Mayo Clinic Health System, 1025, Mankato, MN 56001 Phone: 507-624-4031 Fax: 507-624-4031 |