| Michael R Horned Eagle, RN | |
|
111 Washington Ave Nw, Wagner, SD 57380 | |
| (605) 384-3621 | |
| (605) 384-3293 |
| Full Name | Michael R Horned Eagle |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 111 Washington Ave Nw, Wagner, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376758466 | NPI | - | NPPES |
| 5540030 | Medicaid | SD | |
| 5540100 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R024153 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Horned Eagle, RN 111 Washington Ave Nw, Wagner, SD 57380 Ph: (605) 384-3621 | Michael R Horned Eagle, RN 111 Washington Ave Nw, Wagner, SD 57380 Ph: (605) 384-3621 |
Judy Cuka, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-4804 Fax: 605-384-3293 | |
Susan Grace Knudsen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-3293 | |
Vicki Lynn Thaler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-3293 | |
Mrs. Patricia Ann Goulette, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-3293 | |
Craig A Noteboom, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-3293 | |
Agnes A Jahn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Ave Nw, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-3293 |