Phillip D Vickers (NPI# 1720149529, PAC ID# 6800811449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1720149529 |
| PAC ID by PECOS | 6800811449 |
| Professional Enrollment ID | I20051012000565 |
| Full Name | Phillip D Vickers |
| Organization Legal Name | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A. |
| Address |
1990 Premier Dr Mankato MN 56001-5900 |
| Phone Number | 5076259330 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1988 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 7416988209 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1990 Premier Dr, Mankato, MN 56001-5900 | 5076259330 | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A. |
| Organization Legal Name | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Curtis | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Richard K Marlow | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Eugene E Keller | Oral Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Bruce A Lund | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Street Address |
1990 PREMIER DR |
| City | MANKATO |
| State | MN |
| Zip | 56001-5900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Curtis | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Richard K Marlow | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Eugene E Keller | Oral Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Bruce A Lund | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, P.a. | 1990 Premier Dr, Mankato, MN 56001-5900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica J Schugel | Chiropractic | 816 A S Front St, Mankato, MN 56001-2401 | |
| Paula E Prybylla | Chiropractic | 800 S Front St, Mankato, MN 56001-2401 | |
| Debbie L Carstens | Certified Clinical Nurse Specialist (cns) | 1008 S Front St, Mankato, MN 56001-2405 | |
| Darren J Tungsvik | Clinical Social Worker | Wisconsin Lutheran Child and Family Service Inc | 421 E Hickory St, Suite 402, Mankato, MN 56001-2637 |
| Bryce D Anderson | Chiropractic | 500 S Broad St, Suite 102, Mankato, MN 56001-2692 | |
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Thomas J Brennan | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Katherine A Anderson | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Malati V Pamulapati | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Karie M Soost | Physician Assistant | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Find all physicians in zip 56001 | |||
| City | MANKATO |
| Zip Code | 56001 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | MANKATO + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Phillip D Vickers.
| 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.