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5507 Chateau Rd Nw, Rochester, MN 55901-0136 | |
(651) 508-0936 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Urgent Care |
Location | 5507 Chateau Rd Nw, Rochester, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780162552 | NPI | - | NPPES |
Provider Name | Mark D Bonin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619220019 PECOS PAC ID: 9830342773 Enrollment ID: I20140317002045 |
Provider Name | Pamela Powers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972059129 PECOS PAC ID: 2769761014 Enrollment ID: I20210923003724 |
Provider Name | Daniel J Vanhouse |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1053532150 PECOS PAC ID: 8426106493 Enrollment ID: I20230707003415 |
Provider Name | Richard Scott Navarro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659057024 PECOS PAC ID: 2062427644 Enrollment ID: I20231025000047 |
Provider Name | Stone Hamabwe Kabwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376298141 PECOS PAC ID: 7214370345 Enrollment ID: I20240206002277 |
Provider Name | Kristen Renae Fasbender |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790559722 PECOS PAC ID: 8527403278 Enrollment ID: I20240304002603 |
Mailing Address | Practice Location Address |
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5507 Chateau Rd Nw, Rochester, MN 55901-0136 Ph: (805) 698-8480 | 5507 Chateau Rd Nw, Rochester, MN 55901-0136 Ph: (651) 508-0936 |