| Advancements In Allergy And Asthma Care Ltd | |
|
12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 | |
| (952) 546-6866 | |
| (952) 512-0038 |
| Full Name | Advancements In Allergy And Asthma Care Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 12450 Wayzata Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Michael Ross Wexler (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 9525466866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advancements In Allergy And Asthma Care Ltd 12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 Ph: (952) 546-6866 | Advancements In Allergy And Asthma Care Ltd 12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 Ph: (952) 546-6866 |
| NPI Number | 1619994696 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830176502 |
|---|---|
| Medicare Enrollment ID | O20040630000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619994696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael R Wexler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093732984 PECOS PAC ID: 9032196704 Enrollment ID: I20040630000926 |
| Provider Name | Debra J Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356450860 PECOS PAC ID: 5597891846 Enrollment ID: I20100326000054 |
| Provider Name | Micah Levine Karasov |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922493733 PECOS PAC ID: 9830455179 Enrollment ID: I20201021002833 |
| Provider Name | Elizabeth B Voigt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750018677 PECOS PAC ID: 5092184952 Enrollment ID: I20221215001494 |
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