| Danielle Wissink, | |
|
2270 Ford Parkway Suite 200, St Paul, MN 55116 | |
| (651) 696-5000 | |
| Not Available |
| Full Name | Danielle Wissink |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2270 Ford Parkway Suite 200, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396421236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13137 (Minnesota) | Primary |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Provider Name | Healtheast Outpatient Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Wissink, 2257 Evenson Dr, Onalaska, WI 54650 Ph: (608) 799-0803 | Danielle Wissink, 2270 Ford Parkway Suite 200, St Paul, MN 55116 Ph: (651) 696-5000 |
Mrs. Sharon R Altman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69 W Exchange St, St Joseph Hospital, St Paul, MN 55102 Phone: 651-232-3000 | |
Seth Sibunka, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Smith Ave N, Suite 120, St Paul, MN 55102 Phone: 651-241-7560 Fax: 651-241-7561 | |
Erica Elam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-241-8183 |