David J Egli, MD | |
1025 Marsh St, Mankato, MN 56001-4752 | |
(507) 345-2623 | |
(507) 389-4685 |
Full Name | David J Egli |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1025 Marsh St, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053412353 | NPI | - | NPPES |
8G861EG | Other | MN | BLUE CROSS BLUE SHIELD |
HP57709 | Other | HEALTH PARTNERS | |
2000869 | Other | MEDICA | |
967551028138 | Other | PREFERRED ONE | |
120323 | Other | UCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 39966 (Minnesota) | Primary |
Entity Name | Mankato Surgical Center, L.l.c. |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1720161615 PECOS PAC ID: 2163564659 Enrollment ID: O20100121000534 |
Mailing Address | Practice Location Address |
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David J Egli, MD 120 Red Oak Ln, Mankato, MN 56001-8997 Ph: () - | David J Egli, MD 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 345-2623 |
Paul L Johnson, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
Alyson Leigh Jasper, DNAP, APRN, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
David J Plevak, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 Fax: 507-284-0120 | |
David E Werkmeister, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
Robert Peter Diego, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 | |
Ifechi Anyadioha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E. Madison Ave, Suite 402, Mankato, MN 56001 Phone: 507-625-7246 |