Sally L Bruestle (NPI# 1295255693, PAC ID# 9537426549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295255693 |
| PAC ID by PECOS | 9537426549 |
| Professional Enrollment ID | I20171129003035 |
| Full Name | Sally L Bruestle |
| Organization Legal Name | ST LUKES HOSPITAL OF DULUTH |
| Address |
50 Outer Dr Silver Bay MN 55614-1102 |
| Phone Number | 2182264431 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7113834839 |
| Number of Group Practice Members | 341 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241308 | LAKE VIEW MEMORIAL HOSPITAL |
| 240047 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1012 E 2nd St, Duluth, MN 55805-2200 | ST LUKES HOSPITAL OF DULUTH | |
| 1400 Woodland Ave, Duluth, MN 55803-2624 | 2182498800 | ST LUKES HOSPITAL OF DULUTH |
| 915 E 1st St, Duluth, MN 55805-2107 | 2182495555 | ST LUKES HOSPITAL OF DULUTH |
| 50 Outer Dr, Silver Bay, MN 55614-1102 | 2182264431 | ST LUKES HOSPITAL OF DULUTH |
| Organization Legal Name | ST LUKES HOSPITAL OF DULUTH |
| Physicians | 314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Lafrance | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Nichole Marie Dorn | Nurse Practitioner | St Lukes Hospital of Duluth | 619 W Central Entrance, Duluth, MN 55811-5448 |
| Bari S Hillman | Psychologist, Clinical | St Lukes Hospital of Duluth | 26 E Superior St, Suite 205, Duluth, MN 55802-2196 |
| Pamela B Landsteiner | Dermatology | St Lukes Hospital of Duluth | 920 E 1st St, Suite 201, Duluth, MN 55805-2215 |
| Dana R Katchka | Nurse Practitioner | St Lukes Hospital of Duluth | 2201 Lake Shore Dr E, Ashland, WI 54806-2331 |
| Tara L Richter | Psychologist, Clinical | St Lukes Hospital of Duluth | 220 N 6th Ave E, Duluth, MN 55805-1952 |
| Megan J Hoel | Family Medicine | St Lukes Hospital of Duluth | 109 N 28th St E, Superior, WI 54880-6548 |
| Erin R Thielbar | Nurse Practitioner | St Lukes Hospital of Duluth | 8373 Unity Dr, Virginia, MN 55792-4005 |
| Elisabeth Jane Gibbons | Family Medicine | St Lukes Hospital of Duluth | 4702 Grand Ave, Duluth, MN 55807-2742 |
| Timothy David Kufahl | Family Medicine | St Lukes Hospital of Duluth | 324 W Superior St, Suite 220, Duluth, MN 55802-1707 |
| Street Address |
50 OUTER DR |
| City | SILVER BAY |
| State | MN |
| Zip | 55614-1102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob R Oestreich | Family Medicine | St Lukes Hospital of Duluth | 50 Outer Dr, Silver Bay, MN 55614-1102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia P Cooper | Physical Therapy | Bodies In Balance of Two Harbors, Inc. | 45 Banks Blvd, Silver Bay, MN 55614-1337 |
| City | SILVER BAY |
| Zip Code | 55614 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SILVER BAY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Sally L Bruestle.
| 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.