Ryan Korodan, | |
16981 Kensington Dr, Macomb, MI 48044-4093 | |
(586) 604-1952 | |
Not Available |
Full Name | Ryan Korodan |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 16981 Kensington Dr, Macomb, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861064842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704285840 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704285840 (Michigan) | Primary |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
---|---|
Ryan Korodan, 16981 Kensington Dr, Macomb, MI 48044-4093 Ph: (586) 604-1952 | Ryan Korodan, 16981 Kensington Dr, Macomb, MI 48044-4093 Ph: (586) 604-1952 |
Ms. Patricia E Holderness, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 17002 Sandstone Cir, Macomb, MI 48042 Phone: 586-781-9616 | |
Amanda Marlene Oaks, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 46087 Rhodes Dr, Macomb, MI 48044 Phone: 586-489-1919 | |
Caroline Lillian Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 46541 Twin City Trl, Macomb, MI 48044 Phone: 586-463-4085 | |
Taylor Girvan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16367 Moore Park Rd, Macomb, MI 48044 Phone: 586-481-0922 | |
Leon William Zech Jr., R.N., C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19292 Scenic Harbor Dr, Macomb, MI 48044 Phone: 586-243-5355 | |
Melissa M Monteleone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19811 Beechwood Dr, Macomb, MI 48044 Phone: 586-226-9552 |