| Dr Chris A Rodahl, | |
|
1575 Beam Ave, Maplewood, MN 55109-1126 | |
| (651) 735-0501 | |
| (651) 735-1870 |
| Full Name | Dr Chris A Rodahl |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1575 Beam Ave, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053423343 | NPI | - | NPPES |
| 737022900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 36407 (Minnesota) | Primary |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chris A Rodahl, 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Dr Chris A Rodahl, 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 735-0501 |
Brian Tolly, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 920-915-9034 | |
Dr. Amos Szajner, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Dr. Gregory Crewdson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1725 Legacy Pkwy E Ste 100, Maplewood, MN 55109 Phone: 952-260-1381 | |
Dr. Stian R Mjanger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 | |
Dr. Maulin Upendra Vora, M.B.B.S Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000 | |
Dr. Donald S Anderson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-735-0501 Fax: 651-735-1870 |