Shelley A Breyen (NPI# 1275615593, PAC ID# 1355484502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1275615593 |
PAC ID by PECOS | 1355484502 |
Professional Enrollment ID | I20100210000279 |
Full Name | Shelley A Breyen |
Organization Legal Name | RAITER CLINIC, LTD. |
Address |
417 Skyline Blvd Cloquet MN 55720-1164 |
Phone Number | 2188791271 |
Gender | F |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1987 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 6901719871 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
241364 | COMMUNITY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
417 Skyline Blvd, Cloquet, MN 55720-1164 | 2188791271 | RAITER CLINIC, LTD. |
Organization Legal Name | RAITER CLINIC, LTD. |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maureen L Randall | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Erin N Louks Smith | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
James A Rogers | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Gregory T White | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Joanne C Smith | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Jessica K Woodward Lavan | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Daniel M Palmquist | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Patience M Askim | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Street Address |
417 SKYLINE BLVD |
City | CLOQUET |
State | MN |
Zip | 55720-1164 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maureen L Randall | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Erin N Louks Smith | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
James A Rogers | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Gregory T White | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Ariane Marene Norrgard | Clinical Social Worker | Insight Counseling Duluth LLC | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Joanne C Smith | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Jessica K Woodward Lavan | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Andrew C Chiu | Cardiovascular Disease (cardiology) | The Duluth Clinic Ltd | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Daniel M Palmquist | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Heather M Smith | Physician Assistant | Twin Ports Dermatology Inc | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Patience M Askim | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
Arne Vainio | Family Medicine | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Kirsten M Kortesma | Nurse Practitioner | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Jennifer R Boyle | Obstetrics/gynecology | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Leeanna L Stock | Registered Dietitian Or Nutrition Professional | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Jessica Tia Kamunen | Physician Assistant | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Magdalena Cecilia Reynolds-allen | Nurse Practitioner | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Jeanne A Rice | Optometry | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Kiara Margaret Krugler Levar | Family Medicine | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Amanda M Murray | Certified Nurse Midwife (cnm) | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
Find all physicians in zip 55720 |
City | CLOQUET |
Zip Code | 55720 |
Specialty | FAMILY MEDICINE |
City + Specialty | CLOQUET + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shelley A Breyen.
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.