Peter Paul Foderick, MD in Ada, MN - General Practice

Peter Paul Foderick, MD is a General Practice physician based in Ada, Minnesota. Peter Paul Foderick is licensed to practice in Minnesota (license number 13953) and his current practice location is 506 4th Ave W, 506 Fourth Ave.w, Ada, Minnesota. He can be reached at his office (for appointments etc.) via phone at (218) 784-4848.

NPI number for Peter Paul Foderick is 1336315043 and his current mailing address is 506 Fourth Ave.w, P.o.box189, Ada, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336315043.

Contact Information

	Peter Paul Foderick, MD
	506 4th Ave W, 506 Fourth Ave.w, Ada, MN 56510-1011
	(218) 784-4848
	Not Available

Physician's Profile

Full Name	Peter Paul Foderick
Gender	Male
Speciality	General Practice
Location	506 4th Ave W, Ada, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1336315043
Provider Enumeration Date: 05/02/2008
Last Update Date: 05/02/2008

Medical Identifiers

Medical identifiers for Peter Paul Foderick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336315043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	13953 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Paul Foderick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Peter Paul Foderick, MD 506 Fourth Ave.w, P.o.box189, Ada, MN 56510-0189 Ph: (218) 784-4848	Peter Paul Foderick, MD 506 4th Ave W, 506 Fourth Ave.w, Ada, MN 56510-1011 Ph: (218) 784-4848

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Peter Paul Foderick, MD - General Practice in Ada, MN