Dr Christina Nicole Andrist, DO | |
2321 Stout Rd, Menomonie, WI 54751-7003 | |
(715) 838-5222 | |
Not Available |
Full Name | Dr Christina Nicole Andrist |
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Gender | Female |
Speciality | Pediatrics |
Location | 2321 Stout Rd, Menomonie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801154059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 70397 (Minnesota) | Secondary |
208000000X | Pediatrics | 63975 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Mailing Address | Practice Location Address |
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Dr Christina Nicole Andrist, DO 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Dr Christina Nicole Andrist, DO 2321 Stout Rd, Menomonie, WI 54751-7003 Ph: (715) 838-5222 |
Jenalin D. Uy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 | |
Dr. Jeremy S Forster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671 | |
Sarajean M. Herrmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |