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NPI Code Detail

MEDICARE: ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.

MEDICARE: ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianMN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104976158
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.
Provider Business Mailing Address
First Line : 2854 HIGHWAY 55
Second Line : SUITE 130
City : EAGAN
State : MN
Zip : 55121-1447
Country : US
Telephone Number : 651-842-3378
Fax Number : 651-224-5273
Provider Business Practice Location Address
First Line : 1997 SLOAN PL STE 17
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55117-2051
Country : US
Telephone Number : 651-772-6251
Fax Number : 651-224-9661
Authorized Official
Title or Position : OWNER CEO
Name : SHANNON ELIZABETH DOYLE
Credential : MD
Telephone Number : 651-772-6251
Provider Enumeration Date : 01/11/2007
Last Update Date : 10/25/2022

Similar Medicare Providers

1538126867 — MS. CARA SUE WALZ MD
Practice Location Address:
1997 SLOAN PL STE 17
MAPLEWOOD, MN
55117-2051
Practice Phone: 651-772-6251
Practice Fax: 651-294-9661
1326005679 — MS. SHANNON ELIZABETH DOYLE MD.
Practice Location Address:
1997 SLOAN PL STE 17
MAPLEWOOD, MN
55117-2051
Practice Phone: 651-772-6251
Practice Fax: 651-294-9616
1619138849 — DR. ALEC DAVID OTTEMAN M.D.
Practice Location Address:
1997 SLOAN PL STE 17
MAPLEWOOD, MN
55117-2051
Practice Phone: 651-772-6251
Practice Fax: 651-294-9661
1326281056 — YEKATERINA ALEKSANDROVNA KUZMENKO M.D.
Practice Location Address:
1997 SLOAN PL STE 17
MAPLEWOOD, MN
55117-2051
Practice Phone: 651-772-6251
Practice Fax: 651-224-9661
1992033922 — DR. NYAN PYAE M.D.
Practice Location Address:
1997 SLOAN PL STE 17
MAPLEWOOD, MN
55117-2051
Practice Phone: 517-726-2516
Practice Fax: 651-224-9661
1124309372 — JENNIFER K NELSON PA
Practice Location Address:
1997 SLOAN PL STE 17
MAPLEWOOD, MN
55117-2051
Practice Phone: 651-772-6251
Practice Fax: 651-224-9661

Directions to “ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. ” Practice Location

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