| Sanford Health Adrian Clinic | |
|
201 Maine Ave Adrian MN 56110-1214 | |
| (507) 483-2668 | |
| (507) 483-2925 |
| Full Name | Sanford Health Adrian Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Maine Ave, Adrian, Minnesota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Adrian Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Health Adrian Clinic 201 Maine Ave Adrian MN 56110-1214 Ph: (507) 483-2668 |
| NPI Number | 1831178052 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 0244143824 |
|---|---|
| Medicare Enrollment ID | O20040115000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831178052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary L Famestad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811959323 PECOS PAC ID: 4688577166 Enrollment ID: I20040203001018 |
| Provider Name | Charles E Flohr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306808738 PECOS PAC ID: 7719880285 Enrollment ID: I20040203001053 |
| Provider Name | Bharat K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730186032 PECOS PAC ID: 9133013774 Enrollment ID: I20040212000782 |
| Provider Name | Matthew J Sorrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972577757 PECOS PAC ID: 7012806375 Enrollment ID: I20040313000597 |
| Provider Name | Brian C Aamlid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710984133 PECOS PAC ID: 7517959943 Enrollment ID: I20040402000979 |
| Provider Name | Christopher R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225035215 PECOS PAC ID: 9436147824 Enrollment ID: I20040504001179 |
| Provider Name | Scott Pham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558366500 PECOS PAC ID: 0446231518 Enrollment ID: I20040525001311 |
| Provider Name | Mark A Rawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407836224 PECOS PAC ID: 4284613316 Enrollment ID: I20040714000371 |
| Provider Name | Kevin D Benson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649259227 PECOS PAC ID: 9638155443 Enrollment ID: I20040720001564 |
| Provider Name | Karen A Uecker-bezdicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588661995 PECOS PAC ID: 0648233171 Enrollment ID: I20041105000741 |
| Provider Name | Marian S Petrasko |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881699965 PECOS PAC ID: 5092786467 Enrollment ID: I20041111000566 |
| Provider Name | Tomasz P Stys |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891790978 PECOS PAC ID: 9537155650 Enrollment ID: I20041111000596 |
| Provider Name | Christopher M Stanton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457323081 PECOS PAC ID: 0749246809 Enrollment ID: I20041209000731 |
| Provider Name | Michele M Lohr |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215908686 PECOS PAC ID: 6103853189 Enrollment ID: I20050721000099 |
| Provider Name | Robin R Uithoven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255392353 PECOS PAC ID: 8820016850 Enrollment ID: I20051108000379 |
| Provider Name | Adam T Stys |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083656821 PECOS PAC ID: 5496736019 Enrollment ID: I20061113000295 |
| Provider Name | John C Yu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922005461 PECOS PAC ID: 0345262929 Enrollment ID: I20070418000415 |
| Provider Name | Stacey J Jumbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417024993 PECOS PAC ID: 9638266455 Enrollment ID: I20071025000629 |
| Provider Name | Jennifer Thone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386616704 PECOS PAC ID: 8224062914 Enrollment ID: I20071029000748 |
| Provider Name | Erika I Freking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487840005 PECOS PAC ID: 7113008871 Enrollment ID: I20080118000514 |
| Provider Name | Jerome W Freeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609899665 PECOS PAC ID: 6507778388 Enrollment ID: I20080118000624 |
| Provider Name | Laurie B Landeen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043216799 PECOS PAC ID: 5193808327 Enrollment ID: I20080409000464 |
| Provider Name | Kathleen J Harder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174707848 PECOS PAC ID: 5597834762 Enrollment ID: I20080514000801 |
| Provider Name | David P Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659411080 PECOS PAC ID: 6507962560 Enrollment ID: I20081001000723 |
| Provider Name | Julie L Raysby |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033218987 PECOS PAC ID: 3870699564 Enrollment ID: I20081114000153 |
| Provider Name | Orvar T Jonsson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1831302009 PECOS PAC ID: 3274624994 Enrollment ID: I20081201000601 |
| Provider Name | Jonathan S Bleeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457573974 PECOS PAC ID: 2860557998 Enrollment ID: I20091012000375 |
| Provider Name | Jennifer L Hoefert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760672984 PECOS PAC ID: 7214074475 Enrollment ID: I20091021000500 |
| Provider Name | Karla J Kruse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215129580 PECOS PAC ID: 8729125984 Enrollment ID: I20091021000540 |
| Provider Name | Brooke D Vandenhoek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669604013 PECOS PAC ID: 6406993302 Enrollment ID: I20091026000630 |
| Provider Name | Rebecca R Hein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720074867 PECOS PAC ID: 1759420250 Enrollment ID: I20091123000149 |
| Provider Name | Dennis J Glatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063468130 PECOS PAC ID: 9335160449 Enrollment ID: I20100109000229 |
| Provider Name | Tracy F Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629224167 PECOS PAC ID: 5193892529 Enrollment ID: I20100109000290 |
| Provider Name | Diane L Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316939721 PECOS PAC ID: 1951443498 Enrollment ID: I20100122000115 |
| Provider Name | Timothy P Ceynowa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518959915 PECOS PAC ID: 3577605013 Enrollment ID: I20100122000128 |
| Provider Name | Judy S Chesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780676189 PECOS PAC ID: 0042353997 Enrollment ID: I20100201000684 |
| Provider Name | Stephan L Chesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205828605 PECOS PAC ID: 0547303497 Enrollment ID: I20100201000714 |
| Provider Name | Charles O Dike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003143256 PECOS PAC ID: 8820132160 Enrollment ID: I20100224000406 |
| Provider Name | Foung Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114083235 PECOS PAC ID: 2163547845 Enrollment ID: I20100917001008 |
| Provider Name | Kristofer Kimber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942493721 PECOS PAC ID: 2163575622 Enrollment ID: I20110224001011 |
| Provider Name | Christina E Lankhorst |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134336340 PECOS PAC ID: 7416040753 Enrollment ID: I20110302000213 |
| Provider Name | Kevin Ree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376763094 PECOS PAC ID: 1355435041 Enrollment ID: I20110615000412 |
| Provider Name | Gretchen D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336101849 PECOS PAC ID: 1658402862 Enrollment ID: I20110909002884 |
| Provider Name | Geoffrey T Tufty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104886654 PECOS PAC ID: 7618869678 Enrollment ID: I20111028000473 |
| Provider Name | Mohammad Qamar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104035955 PECOS PAC ID: 6002954195 Enrollment ID: I20111031000636 |
| Provider Name | Anthony J Rupp |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154524288 PECOS PAC ID: 1052507704 Enrollment ID: I20111213000292 |
| Provider Name | Scott J Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427014232 PECOS PAC ID: 3577456748 Enrollment ID: I20120120000084 |
| Provider Name | Amanda L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699056069 PECOS PAC ID: 8426220021 Enrollment ID: I20120131000230 |
| Provider Name | Miranda M Pray Dede |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174668107 PECOS PAC ID: 5193828853 Enrollment ID: I20120209000425 |
| Provider Name | Gary L Famestad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811959323 PECOS PAC ID: 4688577166 Enrollment ID: I20120402000602 |
| Provider Name | Michelle D Vanhove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679837413 PECOS PAC ID: 8820247828 Enrollment ID: I20121008000503 |
| Provider Name | Zachary R Nolz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205128055 PECOS PAC ID: 7214181924 Enrollment ID: I20130205000412 |
| Provider Name | Kelly J Steffen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043430572 PECOS PAC ID: 2365693793 Enrollment ID: I20130709000677 |
| Provider Name | Shannon R Peck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083819650 PECOS PAC ID: 2668513276 Enrollment ID: I20130814000701 |
| Provider Name | Keith A Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023014719 PECOS PAC ID: 8921099862 Enrollment ID: I20140206000977 |
| Provider Name | Tiffany A Von Wald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093825408 PECOS PAC ID: 4486543444 Enrollment ID: I20140210001216 |
| Provider Name | Ahmad J Yusuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992097992 PECOS PAC ID: 0042461071 Enrollment ID: I20140724000319 |
| Provider Name | Ricky C Jensen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780685651 PECOS PAC ID: 2860490380 Enrollment ID: I20140819001147 |
| Provider Name | Sabrina Rae Sowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649670316 PECOS PAC ID: 2365663945 Enrollment ID: I20141023001777 |
| Provider Name | Kristi Jo Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861838500 PECOS PAC ID: 8224262787 Enrollment ID: I20141030001913 |
| Provider Name | Tracy R Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780876052 PECOS PAC ID: 9830412816 Enrollment ID: I20141223001728 |
| Provider Name | Miroslaw A Mazurczak |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437155140 PECOS PAC ID: 8921029554 Enrollment ID: I20150508000409 |
| Provider Name | Adam H Nichols |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063856136 PECOS PAC ID: 3870816788 Enrollment ID: I20150509000112 |
| Provider Name | David J Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649353681 PECOS PAC ID: 9638113418 Enrollment ID: I20151223001790 |
| Provider Name | Kelly A Ming |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023246915 PECOS PAC ID: 7214168251 Enrollment ID: I20160203000049 |
| Provider Name | Ryan K Nowak |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265691133 PECOS PAC ID: 5496973232 Enrollment ID: I20160502001013 |
| Provider Name | Steven C Mcgraw |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396702338 PECOS PAC ID: 9234281817 Enrollment ID: I20160504000637 |
| Provider Name | Allison P Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750709739 PECOS PAC ID: 4284930439 Enrollment ID: I20160926000701 |
| Provider Name | Susan Halbritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295788271 PECOS PAC ID: 8325042765 Enrollment ID: I20161013000736 |
| Provider Name | Worku A Metaferia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437500972 PECOS PAC ID: 1557640158 Enrollment ID: I20161123001235 |
| Provider Name | Matthew J Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164830865 PECOS PAC ID: 6002138047 Enrollment ID: I20170206001186 |
| Provider Name | Bongi A Rudder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255531430 PECOS PAC ID: 8820230089 Enrollment ID: I20170315001063 |
| Provider Name | Keely M Hack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184743148 PECOS PAC ID: 7810154671 Enrollment ID: I20170505000248 |
| Provider Name | Kayla J Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285171579 PECOS PAC ID: 0244517977 Enrollment ID: I20170508000853 |
| Provider Name | Jacqueline R Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245644780 PECOS PAC ID: 3971808874 Enrollment ID: I20170511001170 |
| Provider Name | Na Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811350218 PECOS PAC ID: 8325332901 Enrollment ID: I20170816002174 |
| Provider Name | Susan J Goodemote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912416124 PECOS PAC ID: 1658639760 Enrollment ID: I20171219002108 |
| Provider Name | Paige A Meester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215446802 PECOS PAC ID: 6709144421 Enrollment ID: I20180111000015 |
| Provider Name | Austin W Spronk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801240502 PECOS PAC ID: 2365706165 Enrollment ID: I20180502002121 |
| Provider Name | Angelo N Santos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861628059 PECOS PAC ID: 4486800380 Enrollment ID: I20180820000001 |
| Provider Name | Chelsea J Twamley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760615074 PECOS PAC ID: 0042366734 Enrollment ID: I20180926000979 |
| Provider Name | Katy M Zogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548753684 PECOS PAC ID: 8628329687 Enrollment ID: I20181002000169 |
| Provider Name | Brett D Van Kley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063896298 PECOS PAC ID: 7517274996 Enrollment ID: I20181101000369 |
| Provider Name | Thomas H Flesher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053407619 PECOS PAC ID: 2163458712 Enrollment ID: I20190211003211 |
| Provider Name | Rachelle D Vandegriend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659849784 PECOS PAC ID: 8426399205 Enrollment ID: I20190403002684 |
| Provider Name | Brandi L Gjoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326598046 PECOS PAC ID: 5799065645 Enrollment ID: I20191224000627 |
| Provider Name | Christopher S Gacke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235770231 PECOS PAC ID: 2466886213 Enrollment ID: I20200203002318 |
| Provider Name | Patricia G Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629354634 PECOS PAC ID: 3173826922 Enrollment ID: I20200406000788 |
| Provider Name | Kelli Jo Kolander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396296935 PECOS PAC ID: 1658644844 Enrollment ID: I20200626000077 |
| Provider Name | Darrel P Richards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861874075 PECOS PAC ID: 0345505111 Enrollment ID: I20200709001592 |
| Provider Name | Pamela Barthle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881837946 PECOS PAC ID: 9739239567 Enrollment ID: I20200720001291 |
| Provider Name | Christen H Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437327343 PECOS PAC ID: 1456531409 Enrollment ID: I20201006003206 |
| Provider Name | Kathryn K Dahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568969210 PECOS PAC ID: 2264852029 Enrollment ID: I20201015002221 |
| Provider Name | Austyn J Reker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689271934 PECOS PAC ID: 9133549652 Enrollment ID: I20201222000364 |
| Provider Name | Andrew Ollerton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619233806 PECOS PAC ID: 6305074055 Enrollment ID: I20210202000345 |
| Provider Name | Sarah Heckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285177782 PECOS PAC ID: 2163703273 Enrollment ID: I20210416000975 |
| Provider Name | Suzie Ann Walgrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770169344 PECOS PAC ID: 9335545284 Enrollment ID: I20210901002362 |
| Provider Name | Kimberly Niemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064226 PECOS PAC ID: 3173958659 Enrollment ID: I20220104000087 |
| Provider Name | Mark E Graeber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770969875 PECOS PAC ID: 5597016246 Enrollment ID: I20220310002373 |
| Provider Name | Harvey A Oliver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669735676 PECOS PAC ID: 1456585660 Enrollment ID: I20220314001649 |
| Provider Name | Aneta K Mergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235778507 PECOS PAC ID: 8921436791 Enrollment ID: I20220511000497 |
| Provider Name | Katherine A. Greenlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699446674 PECOS PAC ID: 7911387253 Enrollment ID: I20220706003995 |
| Provider Name | Melanie Lynn Behrends |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831810480 PECOS PAC ID: 4486030707 Enrollment ID: I20221010002249 |
| Provider Name | Anand Dayama |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891050969 PECOS PAC ID: 3577963495 Enrollment ID: I20221222000175 |
| Provider Name | Ashley Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245829282 PECOS PAC ID: 2466868963 Enrollment ID: I20230322002262 |
| Provider Name | Stephanie Rae Meinerts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144955949 PECOS PAC ID: 2668846833 Enrollment ID: I20230330000826 |
| Provider Name | Kimberly Nicole Vanmeeteren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558937367 PECOS PAC ID: 2365849437 Enrollment ID: I20230331002169 |
| Provider Name | Gregory P Studer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437757622 PECOS PAC ID: 0840602058 Enrollment ID: I20230407001896 |
| Provider Name | Laura M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578282174 PECOS PAC ID: 7810367745 Enrollment ID: I20230508001098 |
| Provider Name | Blake Kadinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578082335 PECOS PAC ID: 3870851850 Enrollment ID: I20230519002550 |
| Provider Name | Jeannette Marie Loftin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104435148 PECOS PAC ID: 4486058005 Enrollment ID: I20230608001669 |
| Provider Name | Emelia S Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235816273 PECOS PAC ID: 7810351673 Enrollment ID: I20230912002336 |
| Provider Name | Bennen R Bierman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255953675 PECOS PAC ID: 6204284771 Enrollment ID: I20231121002908 |
| Provider Name | Anna Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881372506 PECOS PAC ID: 8921453036 Enrollment ID: I20231127001970 |