| Cari Jo Middelkamp Iv, | |
|
1025 Marsh St, Mankato, MN 56001-4752 | |
| (507) 345-2603 | |
| Not Available |
| Full Name | Cari Jo Middelkamp Iv |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1025 Marsh St, Mankato, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023039617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R155018-0 (Minnesota) | Primary |
| Entity Name | Mankato Surgical Center, L.L.C. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1720161615 PECOS PAC ID: 2163564659 Enrollment ID: O20100121000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Cari Jo Middelkamp Iv, 1307 Noretta Dr, North Mankato, MN 56003-3422 Ph: (507) 385-8143 | Cari Jo Middelkamp Iv, 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 345-2603 |
Sharon R Brandt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |
Alyson Leigh Jasper, DNAP, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |
Jenna Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |
Nathan Konrad Silva, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |
Melanie Imker Wong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |
Amy Elizabeth Engstrom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 Premier Dr, Mankato, MN 56001 Phone: 507-388-6000 |
Steven A Menk, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-345-2623 Fax: 507-389-4685 |