Dr Jacalyn Anne Bossen Kawiecki, MD, MHA | |
1412 W 4th St, Red Wing Healthcare Community, Red Wing, MN 55066-2107 | |
(651) 388-2843 | |
(651) 388-9502 |
Full Name | Dr Jacalyn Anne Bossen Kawiecki |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 1412 W 4th St, Red Wing, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659329621 | NPI | - | NPPES |
206922900 | Medicaid | MN | |
HP37218 | Other | HEALTH PARTNERS | |
611855422B159 | Other | TRICARE | |
81Q7G72KA | Other | MN | BCBS MINNESOTA |
34247000 | Medicaid | WI | |
963371033094 | Other | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 42926 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jacalyn Anne Bossen Kawiecki, MD, MHA 6235 Wentworth Ave, J.a.b. Kawiecki, Inc.; D.b.a. Excel Rehabilitation, Richfield, MN 55423-1540 Ph: (612) 481-1233 | Dr Jacalyn Anne Bossen Kawiecki, MD, MHA 1412 W 4th St, Red Wing Healthcare Community, Red Wing, MN 55066-2107 Ph: (651) 388-2843 |
News Archive
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