| Theodore M Spiess, CRNA | |
|
1575 Beam Ave, Maplewood, MN 55109-1126 | |
| (651) 735-0501 | |
| (651) 735-1870 |
| Full Name | Theodore M Spiess |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1575 Beam Ave, Maplewood, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396843959 | NPI | - | NPPES |
| 729484100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R1068216 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore M Spiess, CRNA 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Theodore M Spiess, CRNA 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 735-0501 |
Mary L Hasecuster, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Kathleen F Gams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Patricia C Kohlbeck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-251-8050 | |
Randy L Vindedahl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-251-8050 | |
Marilyn A Harder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Donna Kodet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 |