| Dr Christina Nicole Andrist, DO | |
|
2321 Stout Rd, Menomonie, WI 54751-7003 | |
| (715) 838-5222 | |
| Not Available |
| Full Name | Dr Christina Nicole Andrist |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2321 Stout Rd, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801154059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 70397 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 63975 (Wisconsin) | Primary |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christina Nicole Andrist, DO 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Dr Christina Nicole Andrist, DO 2321 Stout Rd, Menomonie, WI 54751-7003 Ph: (715) 838-5222 |
Jenalin D. Uy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 | |
Dr. Jeremy S Forster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671 | |
Sarajean M. Herrmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |