| Andrew Morris Blair, | |
|
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
| (218) 326-3401 | |
| Not Available |
| Full Name | Andrew Morris Blair |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205559754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 138362 (Minnesota) | Primary |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Morris Blair, 28125 Sunny Beach Rd, Grand Rapids, MN 55744-5883 Ph: (701) 527-4559 | Andrew Morris Blair, 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-3401 |
Emilee Olson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 | |
Thomas G. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Jim S. Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Jared Onder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 613 Nw 1st Ave Unit 112a, Grand Rapids, MN 55744 Phone: 218-910-8078 | |
Mrs. Amber L. Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 |