| Mary Ann Krogh, | |
|
3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | |
| (763) 520-1926 | |
| Not Available |
| Full Name | Mary Ann Krogh |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3300 Oakdale Ave N, Robbinsdale, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942353941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R-122570-3 (Minnesota) | Primary |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Krogh, 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: () - | Mary Ann Krogh, 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-1926 |
Tana Isaacson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Dana Lee Chippendale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 | |
Jonghwa Park, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-3980 Fax: 763-581-3591 | |
Katherine Piehl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 Fax: 763-257-8356 | |
Carolyn Olson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Jeffrey Middendorf, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926 | |
Brian Geniesse, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 |