| Charles Fuller, CRNA | |
|
612 S Sibley Ave, Litchfield, MN 55355-3340 | |
| (320) 693-3242 | |
| Not Available |
| Full Name | Charles Fuller |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 612 S Sibley Ave, Litchfield, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063518934 | NPI | - | NPPES |
| 767S7AN | Other | MN | BLUE CROSS OF MN |
| 445542800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R064879-2 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Fuller, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Charles Fuller, CRNA 612 S Sibley Ave, Litchfield, MN 55355-3340 Ph: (320) 693-3242 |
Craig P Mckay, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 612 S Sibley Ave, Litchfield, MN 55355 Phone: 320-693-3242 | |
Thad Peter Larson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 612 S Sibley Ave, Litchfield, MN 55355 Phone: 320-693-3242 | |
Barry R Rick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 66649 305th St, Litchfield, MN 55355 Phone: 763-656-9001 | |
Tera L Bredeson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 612 S Sibley Ave, Litchfield, MN 55355 Phone: 320-693-4500 |