| Emily A Wangen, | |
|
15350 English Ave, Apple Valley, MN 55124-6252 | |
| (952) 431-8500 | |
| Not Available |
| Full Name | Emily A Wangen |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 15350 English Ave, Apple Valley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851089296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3921 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 3936 (Minnesota) | Primary |
| 152W00000X | Optometrist | 120548 (Iowa) | Secondary |
| Provider Name | Gundersen Clinic Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Provider Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily A Wangen, 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Emily A Wangen, 15350 English Ave, Apple Valley, MN 55124-6252 Ph: (952) 431-8500 |
Dr. Robert Owen Anderson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 15160 Foliage Ave Ste 180, Apple Valley, MN 55124 Phone: 952-953-4151 | |
Amanda Howes Mcmullen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7789 147th St W, Apple Valley, MN 55124 Phone: 952-432-0680 | |
Dr. Brandon H King, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7835 150th St W, Apple Valley, MN 55124 Phone: 952-431-9707 | |
Dr. Kassandra M Wedeking Calarco, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7789 147th St W, Apple Valley, MN 55124 Phone: 952-432-0680 Fax: 952-432-8823 | |
Dr. Lauren Haverly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7789 147th St W, Apple Valley, MN 55124 Phone: 952-432-0680 Fax: 952-432-8823 | |
Kaitlyn Jo Marshall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7789 147th St W, Apple Valley, MN 55124 Phone: 952-432-0680 Fax: 952-432-8823 | |
Michael Hanson, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15052 Gleason Path Ste 104, Apple Valley, MN 55124 Phone: 952-432-5889 Fax: 952-432-1878 |