Dale J Duthoy (NPI# 1215942180, PAC ID# 2466365069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215942180 |
| PAC ID by PECOS | 2466365069 |
| Professional Enrollment ID | I20071215000194 |
| Full Name | Dale J Duthoy |
| Organization Legal Name | FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS |
| Address |
4786 Banning Ave White Bear Lake MN 55110-3264 |
| Phone Number | 6514266402 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1355369018 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| 240213 | HEALTHEAST WOODWINDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 6514266402 | FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS |
| Organization Legal Name | FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Losasso | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 234 E Wentworth Ave, West St Paul, MN 55118-3525 |
| Casandera K Wiek | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 7280 E Point Douglas Rd S, Cottage Grove, MN 55016-3016 |
| Aaron J Ulland | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 1540 Randolph Ave, Saint Paul, MN 55105-2535 |
| Nicole J Staloch | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 7180 10th St N, Oakdale, MN 55128-1122 |
| Christina M Olson | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 2601 Centennial Dr, Suite 100, North St Paul, MN 55109-3087 |
| Grete F Thomsen | Physician Assistant | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 |
| Julia K Perpich | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 1050 W Larpenteur Ave, Saint Paul, MN 55113-6556 |
| Jeffrey D Elbers | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 4786 Banning Ave, White Bear Lake, MN 55110-3264 |
| John P Barsanti | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Garrett R Trobec | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 404 Hwy 96 W, Shoreview, MN 55126-1901 |
| Street Address |
4786 BANNING AVE |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip | 55110-3264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey D Elbers | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 4786 Banning Ave, White Bear Lake, MN 55110-3264 |
| Ann M Barry | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 4786 Banning Ave, White Bear Lake, MN 55110-3264 |
| David C Thorson | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 4786 Banning Ave, White Bear Lake, MN 55110-3264 |
| Nicole A Altstatt | Nurse Practitioner | Synaptrx Sleep, LLC | 4786 Banning Ave, White Bear Lake, MN 55110-3264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie S Cronk | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Juan P Jaimes | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Kristina Shaffer | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Lydia Turnbull | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Jeremy W Cook | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Mina C Ingersoll | Clinical Social Worker | Ingersoll Associates LLC | 5522 W Bald Eagle Blvd, White Bear Lake, MN 55110-2381 |
| James T Barr | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Joshua Richard Jaeger | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Colin L Natrop | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Mitchell Green | Chiropractic | Carlson Chiropractic Corporation | 4717 Clark Ave, White Bear Lake, MN 55110-3221 |
| Find all physicians in zip 55110 | |||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WHITE BEAR LAKE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dale J Duthoy.
| 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.