Mr Wayne Berisford Janitschke Jr, CRNA | |
301 Becker Ave Sw, Willmar, MN 56201-3302 | |
(320) 235-4543 | |
Not Available |
Full Name | Mr Wayne Berisford Janitschke Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 301 Becker Ave Sw, Willmar, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427013606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R116000-4 (Minnesota) | Primary |
Entity Name | Ortonville Area Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477799765 PECOS PAC ID: 2365448768 Enrollment ID: O20090326000381 |
Mailing Address | Practice Location Address |
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Mr Wayne Berisford Janitschke Jr, CRNA 3208 Eagle Ridge Dr E, Willmar, MN 56201-8734 Ph: (320) 214-8166 | Mr Wayne Berisford Janitschke Jr, CRNA 301 Becker Ave Sw, Willmar, MN 56201-3302 Ph: (320) 235-4543 |
Ms. Kaylene Nichole Larson, APRN, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-4543 | |
James Malkuch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-4543 | |
Ms. Kimberly Diane Rupp-montpetit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Mr. Grayson Joel Swalin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4130 | |
Eric Julian Peterson, CRNA,MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4120 | |
Donald Glenn Fisher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Rice Hospital, Willmar, MN 56201 Phone: 320-231-4130 | |
Charles Haupert Ii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 |