| Mary K Holbach, CRNA | |
|
8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 | |
| (651) 251-8021 | |
| (651) 251-8050 |
| Full Name | Mary K Holbach |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8681 Eagle Point Blvd, Lake Elmo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720187719 | NPI | - | NPPES |
| 861343500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0944360 (Minnesota) | Primary |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K Holbach, CRNA 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 | Mary K Holbach, CRNA 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021 |
Michelle Cunningham, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042 Phone: 651-702-7400 | |
John R Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-702-7400 | |
James R Benyon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-702-7400 | |
William C Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-702-7400 | |
Mark J Mayry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8650 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-702-7400 | |
Mrs. Sarah Ann Dorff, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11570 58th Ct N, Lake Elmo, MN 55042 Phone: 651-334-5341 | |
Patricia Akers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042 Phone: 651-702-7400 Fax: 651-702-7414 |