Michael John Ebertz (NPI# 1144386392, PAC ID# 6901709500) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1144386392 |
| PAC ID by PECOS | 6901709500 |
| Professional Enrollment ID | I20110429000429 |
| Full Name | Michael John Ebertz |
| Organization Legal Name | SKIN CARE DOCTORS PA |
| Address |
14000 Nicollet Ave Suite 304 Burnsville MN 55337-5784 |
| Phone Number | 9528981600 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3870496474 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 | 9528981600 | SKIN CARE DOCTORS PA |
| 7373 France Ave S, Suite 304, Edina, MN 55435-4538 | 9528981600 | SKIN CARE DOCTORS PA |
| Organization Legal Name | SKIN CARE DOCTORS PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cooper C Wriston | Dermatology | Skin Care Doctors Pa | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 |
| Matthew Carroll Camp | Plastic and Reconstructive Surgery | Skin Care Doctors Pa | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 |
| Wendy M Bongers | Family Medicine | Skin Care Doctors Pa | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 |
| Heidi L Foster | Dermatology | Skin Care Doctors Pa | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 |
| Street Address |
14000 NICOLLET AVE SUITE 304 |
| City | BURNSVILLE |
| State | MN |
| Zip | 55337-5784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney S Evans | Nurse Practitioner | Allina Health System | 14000 Nicollet Ave, Suite 100, Burnsville, MN 55337-5793 |
| Robert J Reese | General Surgery | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 | |
| Mark E Wilson | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Cooper C Wriston | Dermatology | Skin Care Doctors Pa | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 |
| Briana Marie Rueda | Family Medicine | Allina Health System | 14000 Nicollet Ave, Suite 100, Burnsville, MN 55337-5793 |
| Matthew Carroll Camp | Plastic and Reconstructive Surgery | Skin Care Doctors Pa | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5784 |
| Brian F Decesare | Interventional Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Jennifer Williams | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Karl T Nelsen | Physician Assistant | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Nihar S Shah | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 14000 Nicollet Ave, Suite 204, Burnsville, MN 55337-5796 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah M Brooks | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Marc C Osborne | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Matveh Panya | Physician Assistant | Medical Addiction Treatment Clinic, PC | 2414 E 117th St, Burnsville, MN 55337-1269 |
| Thomas Alan Anderson | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Lindsay A Bergstreser | Physician Assistant | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Christine I Lynch | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Stacy X Chang | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Kristina Marie Fruechtl | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Christina Kern | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Ashwin V George | Addiction Medicine | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Find all physicians in zip 55337 | |||
| City | BURNSVILLE |
| Zip Code | 55337 |
| Specialty | DERMATOLOGY |
| City + Specialty | BURNSVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Michael John Ebertz.
| 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.