Dr Chris A Rodahl, | |
1575 Beam Ave, Maplewood, MN 55109-1126 | |
(651) 735-0501 | |
(651) 735-1870 |
Full Name | Dr Chris A Rodahl |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1575 Beam Ave, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053423343 | NPI | - | NPPES |
737022900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 36407 (Minnesota) | Primary |
Entity Name | Centracare Health System-nr Llc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
Entity Name | Centracare Health System-nr Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Mailing Address | Practice Location Address |
---|---|
Dr Chris A Rodahl, 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Dr Chris A Rodahl, 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 735-0501 |
Dr. Amos Szajner, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Dr. Gregory Crewdson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1725 Legacy Pkwy E Ste 100, Maplewood, MN 55109 Phone: 952-260-1381 | |
Dr. Stian R Mjanger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Dr. Donald S Anderson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Dr. Paul R Johnson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 |