| Ms Maija L Duppong, | |
| 
					900 Hilligoss Blvd Se, Fosston, MN 56542-1542  | |
| (218) 435-1133 | |
| (218) 435-1134 | 
| Full Name | Ms Maija L Duppong | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 900 Hilligoss Blvd Se, Fosston, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053555797 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R 188975-4 (Minnesota) | Primary | 
| Entity Name | St Marys Regional Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090  | 
| Entity Name | First Care Medical Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035  | 
| Entity Name | Bridges Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366886186 PECOS PAC ID: 4981659851 Enrollment ID: O20050809000114  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Maija L Duppong, 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 Ph: (218) 435-1133  | Ms Maija L Duppong, 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 Ph: (218) 435-1133  | 
Breah Christianson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133  | |
Nicholas Chandler Woods, APRN/CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 Fax: 218-435-1134  | |
Mei Wen W Sather, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1500  | |
Nan Vobr, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133  |