Taylor Sean Studsrud, MD | |
1025 Marsh St, Mankato, MN 56001-4752 | |
(507) 625-4031 | |
Not Available |
Full Name | Taylor Sean Studsrud |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
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 |
---|---|---|---|
1831651355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 1018269 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 79980 (Minnesota) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
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Taylor Sean Studsrud, MD Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Taylor Sean Studsrud, MD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 |
Dr. Peter B Ryan Reichert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Warren R Stanchfield Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Sarah D Clauss, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1230 E Main St, Mankato Clinic Ltd, Mankato, MN 56002 Phone: 507-625-1811 | |
Dr. Mark John Austin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Usman Anwer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Matthew Gerald Pollema, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56002 Phone: 507-385-2653 | |
James R Custer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002 Phone: 507-625-1811 |