Kelsey Leigh Redland-kladivo (NPI# 1861836678, PAC ID# 1153625462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1861836678 |
PAC ID by PECOS | 1153625462 |
Professional Enrollment ID | I20160701000834 |
Full Name | Kelsey Leigh Redland-kladivo |
Organization Legal Name | DEER RIVER HEALTHCARE CENTER INC |
Address |
9 Birch St Ne Remer MN 56672-4469 |
Phone Number | 21856614410 |
Gender | F |
Medical School | UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE |
Graduation Year | 2008 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1850388448 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
241360 | DEER RIVER HEALTHCARE CENTER |
240084 | ESSENTIA HEALTH VIRGINIA |
Address | Phone | Organization |
---|---|---|
9 Birch St Ne, Remer, MN 56672-4469 | 21856614410 | DEER RIVER HEALTHCARE CENTER INC |
901 9th St N, Virginia, MN 55792-2325 | 2187487750 | THE DULUTH CLINIC LTD |
Organization Legal Name | DEER RIVER HEALTHCARE CENTER INC |
Physicians | 19 |
Name | Specialty | Organization | Address |
---|---|---|---|
Meg E. Demuri | Physician Assistant | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Thomas E Howard Ii | Emergency Medicine | Deer River Healthcare Center Inc | 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 |
Paula M Hedin | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Natalie J Gustafson | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Lori A Sutherland | Certified Registered Nurse Anesthetist (crna) | Deer River Healthcare Center Inc | 115 10th Ave Ne, Deer River, MN 56636-8795 |
Thomas J Witt | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 |
Danika Jo Nichols | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Janna Lynn Block | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Tasha Lea Waage | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Leland Stillman | Hospitalist | Deer River Healthcare Center Inc | 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 |
Street Address |
9 BIRCH ST NE |
City | REMER |
State | MN |
Zip | 56672-4469 |
Name | Specialty | Organization | Address |
---|---|---|---|
Meg E. Demuri | Physician Assistant | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Paula M Hedin | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Natalie J Gustafson | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Danika Jo Nichols | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Janna Lynn Block | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Tasha Lea Waage | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Kjerstin G Durie | Physician Assistant | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Byron David Kion Hoffman | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Shana K Kongsjord | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Jared E Lund | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
Find all physicians in the same address |
City | REMER |
Zip Code | 56672 |
Specialty | FAMILY MEDICINE |
City + Specialty | REMER + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.