Amy L Lisdahl (NPI# 1700123973, PAC ID# 8426351065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700123973 |
| PAC ID by PECOS | 8426351065 |
| Professional Enrollment ID | I20170127001361 |
| Full Name | Amy L Lisdahl |
| Organization Legal Name | HUMAN DEVELOPMENT CENTER |
| Address |
1500 N 34th St Suite 100 Superior WI 54880-4476 |
| Phone Number | 7153928216 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961485909 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 40 11th St, Cloquet, MN 55720-1817 | 2188794559 | HUMAN DEVELOPMENT CENTER |
| 1401 E 1st St, Duluth, MN 55805-2407 | 2187284491 | HUMAN DEVELOPMENT CENTER |
| 1500 N 34th St, Suite 100, Superior, WI 54880-4476 | 7153928216 | HUMAN DEVELOPMENT CENTER |
| Organization Legal Name | HUMAN DEVELOPMENT CENTER |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy D Perrett | Clinical Social Worker | Human Development Center | 325 11th Ave, Two Harbors, MN 55616-1300 |
| Eric J Carlson | Clinical Social Worker | Human Development Center | 810 E 4th St, Duluth, MN 55805-2147 |
| Rebecca H Oachs | Clinical Social Worker | Human Development Center | 1406 E 2nd St, Duluth, MN 55805-2378 |
| Dione D Johnson | Clinical Social Worker | Human Development Center | 40 11th St, Cloquet, MN 55720-1817 |
| Jane-marie B Asay | Clinical Social Worker | Human Development Center | 1807w Hwy 61, Grand Marais, MN 55604-7503 |
| Scott K Johnson | Clinical Social Worker | Human Development Center | 1401 E 1st St, Duluth, MN 55805-2407 |
| Debra R Ellison | Clinical Social Worker | Human Development Center | 629 1st Ave, Two Harbors, MN 55616-1505 |
| Margaret Mary Saracino | Psychiatry | Human Development Center | 1500 N 34th St, Suite 100, Superior, WI 54880-4476 |
| Amy J Suomi | Nurse Practitioner | Human Development Center | 40 11th St, Cloquet, MN 55720-1817 |
| Kathryn M Palm | Nurse Practitioner | Human Development Center | 1401 E 1st St, Duluth, MN 55805-2407 |
| Street Address |
1500 N 34TH ST SUITE 100 |
| City | SUPERIOR |
| State | WI |
| Zip | 54880-4476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Mary Saracino | Psychiatry | Human Development Center | 1500 N 34th St, Suite 100, Superior, WI 54880-4476 |
| John W Glick | Psychiatry | Human Development Center | 1500 N 34th St, Suite 100, Superior, WI 54880-4476 |
| Melissa A Maki | Nurse Practitioner | Human Development Center | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 |
| Kimberly A Johnson | Nurse Practitioner | Human Development Center | 1500 N 34th St, Superior, WI 54880-4477 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Reedstrom | Optometry | James A. Reedstrom, O.d., Ltd. | 1325 Tower Ave, Superior, WI 54880-1504 |
| Gregory E Luke | Chiropractic | 916 Hammond Ave, Suite 100, Superior, WI 54880-1770 | |
| Mark C Bergquist | Chiropractic | 2806 Belknap St, Superior, WI 54880-2341 | |
| James W Hoeffling | Chiropractic | 1728 Tower Ave, Superior, WI 54880-2543 | |
| Dane E Laughlin | Chiropractic | 1810 N 16th St, Suite 1, Superior, WI 54880-2597 | |
| John J Lange | Chiropractic | 1810 N 16th St, Suite 1, Superior, WI 54880-2597 | |
| James G Rauzi | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Lindi M Schlotthauer | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Chad Martin Peterson | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Jane E Worley | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Find all physicians in zip 54880 | |||
| City | SUPERIOR |
| Zip Code | 54880 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUPERIOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy L Lisdahl.
| 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.