| Brogan Rister, | |
|
4000 Wellness Dr, Midland, MI 48670-2000 | |
| (989) 839-3000 | |
| Not Available |
| Full Name | Brogan Rister |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4000 Wellness Dr, Midland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174226716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704345099 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704345099 (Michigan) | Primary |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770668683 PECOS PAC ID: 2264323633 Enrollment ID: O20040324001146 |
| Mailing Address | Practice Location Address |
|---|---|
| Brogan Rister, 2708 Scott St, Midland, MI 48642-4712 Ph: () - | Brogan Rister, 4000 Wellness Dr, Midland, MI 48670-2000 Ph: (989) 839-3000 |
Richard M Dudzik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Bernard J Betka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Donavon Earley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2107 Laurel Ln, Midland, MI 48642 Phone: 989-750-2335 | |
Karen L Yaworski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Christine M Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Andrew James Leis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3000 | |
Hollie Caldwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-839-3639 |