| William Wedin, MD | |
|
1430 Highway 96 E, White Bear Lake, MN 55110-3653 | |
| (651) 653-2100 | |
| (651) 653-2125 |
| Full Name | William Wedin |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1430 Highway 96 E, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134547847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 62461 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| William Wedin, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: (651) 653-2100 | William Wedin, MD 1430 Highway 96 E, White Bear Lake, MN 55110-3653 Ph: (651) 653-2100 |
Dr. Padma Pallavi Yarrapureddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Howard J Stang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E, Mail Stop 32300a, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2111 | |
Margaret Gast, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 | |
Roopa Sharma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Dr. Kathleen Elizabeth Bauer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Elsa N Keeler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E, Healthpartners Whine Bear Lake Clinic-mail Stop 32300a, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 |