| Gary Thornberg, CRNA | |
|
149 North St, Waterville, ME 04901-4974 | |
| (207) 622-1959 | |
| (207) 430-4007 |
| Full Name | Gary Thornberg |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 149 North St, Waterville, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821037052 | NPI | - | NPPES |
| 274300099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 025911 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Thornberg, CRNA 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 622-1959 | Gary Thornberg, CRNA 149 North St, Waterville, ME 04901-4974 Ph: (207) 622-1959 |
Martha Jean Ponitz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-872-1270 | |
Maureen Dole, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325a Kennedy Memorial Dr, Waterville, ME 04901 Phone: 207-873-2731 Fax: 207-873-1106 | |
Susan Horsman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-622-1959 Fax: 207-430-4007 | |
June Nelson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-622-1959 Fax: 270-430-4007 | |
Timothy J Axelson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 149 North St, Waterville, ME 04901 Phone: 207-622-1959 Fax: 207-430-4007 |