David G Detert OLMSTED MEDICAL CENTER

Address: 2820 S Broadway, Rochester, MN 55904-5571
Phone: 5072927009

David G Detert (NPI# 1902872641, PAC ID# 4587621826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1902872641
PAC ID by PECOS 4587621826
Professional Enrollment ID I20041217000542
Full Name David G Detert
Organization Legal Name OLMSTED MEDICAL CENTER
Address 2820 S Broadway
Rochester
MN 55904-5571
Phone Number 5072927009
Gender M
Credential MD
Graduation Year 1976
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 8527970060
Number of Group Practice Members 236
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240006 OLMSTED MEDICAL CENTER

Other Locations

Address Phone Organization
1650 4th St Se, Rochester, MN 55904-4700 5072858485 OLMSTED MEDICAL CENTER
210 9th St Se, Rochester, MN 55904-6425 5072883443 OLMSTED MEDICAL CENTER
2820 S Broadway, Rochester, MN 55904-5571 5072927009 OLMSTED MEDICAL CENTER

Organization Information

Organization Legal Name OLMSTED MEDICAL CENTER
Physicians 203

Physicians with the same location

Name Specialty Organization Address
Samuel H Halverson PHYSICIAN ASSISTANT OLMSTED MEDICAL CENTER 1650 4th St Se, Rochester
Kalpana Muthusamy ENDOCRINOLOGY OLMSTED MEDICAL CENTER 1650 4th St Se, Rochester
Kyle J Tooley PHYSICIAN ASSISTANT OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
David W Lowe ALLERGY/IMMUNOLOGY OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Laura I Pelaez FAMILY PRACTICE OLMSTED MEDICAL CENTER 1650 4th St Se, Rochester
Elizabeth Vermilya REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL OLMSTED MEDICAL CENTER 210 9th St Se, Rochester
Lynette M Lamp FAMILY PRACTICE OLMSTED MEDICAL CENTER 1650 4th St Se, Rochester
Sarah E Jerde PHYSICIAN ASSISTANT OLMSTED MEDICAL CENTER 1650 4th St Se, Rochester
Debra A Groth NURSE PRACTITIONER OLMSTED MEDICAL CENTER 210 9th St Se, Rochester
Jeremy Jay Waldo NURSE PRACTITIONER OLMSTED MEDICAL CENTER 210 9th St Se, Rochester

Office Location

Street Address 2820 S BROADWAY
City ROCHESTER
State MN
Zip 55904-5571

Physicians with the same location

Name Specialty Organization Address
Joseph D Tricarico ANESTHESIOLOGY OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Marco A Santamaria ANESTHESIOLOGY OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Stephanie A Citronowicz PHYSICIAN ASSISTANT OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Frederick W Clare PHYSICIAN ASSISTANT OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Karina Huerter PHYSICIAN ASSISTANT OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Nathan J Benn PHYSICIAN ASSISTANT OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Nicole S Nipper NURSE PRACTITIONER OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Mary E Branstad CERTIFIED REGISTERED NURSE ANESTHETIST OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
David W Lowe ALLERGY/IMMUNOLOGY OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester
Martha A Bowman INTERNAL MEDICINE OLMSTED MEDICAL CENTER 2820 S Broadway, Rochester

Competitor

Search similar physicians

City ROCHESTER
Zip Code 55904
Specialty FAMILY PRACTICE
City + Specialty ROCHESTER + FAMILY PRACTICE

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Dataset Information

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.