| Midwest Immunology Clinics, Pllc | |
|
15700 37th Ave N Suite 110 Plymouth MN 55446-3399 | |
| (763) 577-0008 | |
| (763) 577-0192 |
| Full Name | Midwest Immunology Clinics, Pllc |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 15700 37th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | Jason Patrick Raasch (OFFICER) |
| Authorized Official Contact | 7635770008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Immunology Clinics, Pllc 21897 S Diamond Lake Rd Suite 400-307 Rogers MN 55374-4642 Ph: (763) 515-3993 | Midwest Immunology Clinics, Pllc 15700 37th Ave N Suite 110 Plymouth MN 55446-3399 Ph: (763) 577-0008 |
| NPI Number | 1457417933 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 07/11/2025 |
| Certification Date | 07/11/2025 |
| Medicare PECOS PAC ID | 4486684438 |
|---|---|
| Medicare Enrollment ID | O20050818000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457417933 | NPI | - | NPPES |
| 454847700 | Medicaid | MN | |
| 51B54MI | Other | MN | BLUE CROSS BLUE SHIELD |
| Provider Name | Jonathan Calkwood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194765388 PECOS PAC ID: 8628008505 Enrollment ID: I20060213000558 |
| Provider Name | Jason P Raasch |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1811095854 PECOS PAC ID: 7315943669 Enrollment ID: I20061010000797 |
| Provider Name | Heli Marjatta Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790812477 PECOS PAC ID: 4082783790 Enrollment ID: I20130125000297 |
| Provider Name | Kathleen E Steensma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902206899 PECOS PAC ID: 2860612272 Enrollment ID: I20190109000048 |
| Provider Name | Amy F Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780461681 PECOS PAC ID: 1658725478 Enrollment ID: I20230928000370 |
| Provider Name | Jacqueline Curiston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336779958 PECOS PAC ID: 2264860345 Enrollment ID: I20250130004157 |
| Provider Name | Denise A Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265456198 PECOS PAC ID: 7113231705 Enrollment ID: I20250131000189 |
| Provider Name | Jerilynn Spring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790767820 PECOS PAC ID: 7719902576 Enrollment ID: I20250305002712 |
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