| Kristine K Domier, CRNA | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| (218) 847-0881 |
| Full Name | Kristine K Domier |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134172034 | NPI | - | NPPES |
| 041H1DO | Other | MN | MNBS # |
| 2003184 | Other | MN | MEDICA # |
| 49119 | Other | MN | AMERICA'S PPO/ARAZ # |
| 1134172034 | Medicaid | MN | |
| 26506 | Other | MN | NDBS # |
| 49119 | Other | MN | LHS # |
| HP42498 | Other | MN | HEALTHPARTNERS # |
| DA9031016140 | Other | MN | PREFERRED ONE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R138036-3 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine K Domier, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Kristine K Domier, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Jeffrey D. Sliper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Carol M Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Russell H Sauer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Benjamin B Evenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dewayne M Dunham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 125 Frazee St E, Detroit Lakes, MN 56501 Phone: 218-844-2300 Fax: 218-844-2444 | |
Jeffrey R Johannsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 |