| Bill Tisue, CRNA | |
|
901 Montgomery St, Decorah, IA 52101-2325 | |
| (319) 382-2911 | |
| Not Available |
| Full Name | Bill Tisue |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 901 Montgomery St, Decorah, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972576734 | NPI | - | NPPES |
| 2091348 | Medicaid | IA | |
| 59688 | Other | IA | BLUE CROSS OF IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 047720 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Tisue, CRNA 400 E 10th St, Waconia, MN 55387-4552 Ph: (952) 442-9770 | Bill Tisue, CRNA 901 Montgomery St, Decorah, IA 52101-2325 Ph: (319) 382-2911 |
Christine Sue Roth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-3102 | |
Lydia Adams, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 |