Andrew Morris Blair, | |
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
(218) 326-3401 | |
Not Available |
Full Name | Andrew Morris Blair |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205559754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 138362 (Minnesota) | Primary |
Entity Name | Grand Itasca Clinic And Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
Mailing Address | Practice Location Address |
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Andrew Morris Blair, 28125 Sunny Beach Rd, Grand Rapids, MN 55744-5883 Ph: (701) 527-4559 | Andrew Morris Blair, 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-3401 |
Emilee Olson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 | |
Thomas G. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Jim S. Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Jared Onder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 613 Nw 1st Ave Unit 112a, Grand Rapids, MN 55744 Phone: 218-910-8078 | |
Mrs. Amber L. Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 |