| Dr Suzanne T Witterholt, MD | |
|
9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | |
| (763) 780-9155 | |
| Not Available |
| Full Name | Dr Suzanne T Witterholt |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Pain Medicine |
| Location | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013018688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 35882 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzanne T Witterholt, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Dr Suzanne T Witterholt, MD 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155 |
Jayasri Alapati, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-427-8320 | |
Dr. Allan Phillip Ingenito, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-427-8320 Fax: 763-302-4338 | |
Mark D Miceli, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 612-262-1220 | |
Dr. Jaehoon Cho, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3833 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-427-8320 Fax: 763-302-4338 | |
Dr. Kelly Ann Moreno, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Dr. Shilpa Mikkilineni, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |