| Craig A Wagamon, CRNA | |
|
206 8th St Nw, Valley City, ND 58072 | |
| (701) 550-9335 | |
| Not Available |
| Full Name | Craig A Wagamon |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 206 8th St Nw, Valley City, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649332461 | NPI | - | NPPES |
| 25761 | Other | ND | BLUE CROSS BLUE SHIELD |
| 1649332461 | Medicaid | WI | |
| 13462 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R29587 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Craig A Wagamon, CRNA 206 8th St Nw, Valley City, ND 58072 Ph: (701) 550-9335 | Craig A Wagamon, CRNA 206 8th St Nw, Valley City, ND 58072 Ph: (701) 550-9335 |
Clark J Kruta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6522 Fax: 701-845-6520 | |
Mr. Jeffrey Dale Schultz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6400 |