| Ms Melissa Hanner Frisvold, CNM | |
|
921 Greeley St S, Stillwater, MN 55082-5935 | |
| (651) 439-1234 | |
| (651) 439-1547 |
| Full Name | Ms Melissa Hanner Frisvold |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 921 Greeley St S, Stillwater, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528041043 | NPI | - | NPPES |
| 070912300 | Medicaid | MN | |
| 43918100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | R1182312 (Minnesota) | Primary |
| Entity Name | Western Wisconsin Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255324752 PECOS PAC ID: 8224939665 Enrollment ID: O20040119000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa Hanner Frisvold, CNM 1687e Division St, River Falls, WI 54022-1571 Ph: (715) 425-6701 | Ms Melissa Hanner Frisvold, CNM 921 Greeley St S, Stillwater, MN 55082-5935 Ph: (651) 439-1234 |
Ms. Fern Marie Aspen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 921 Greeley St S, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 | |
Heather Dejarnett, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5640 Memorial Ave N, Suite B, Stillwater, MN 55082 Phone: 651-430-1880 | |
Ms. Michelle Deanne Rice, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 921 Greeley St S, Stillwater, MN 55082 Phone: 651-439-1234 |