| Michael D Thyen, CRNA | |
|
8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 | |
| (763) 398-0099 | |
| (763) 398-0124 |
| Full Name | Michael D Thyen |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8990 Springbrook Dr Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013909126 | NPI | - | NPPES |
| 083543900 | Medicaid | MN | |
| 367K5TH | Other | MN | BCBSMN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 104401-0 (Minnesota) | Primary |
| Entity Name | South Metropolitan Anesthesia PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265737 PECOS PAC ID: 1153370911 Enrollment ID: O20050119000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Thyen, CRNA 1319 Greenleaf Rd, Faribault, MN 55021-2223 Ph: Not Available | Michael D Thyen, CRNA 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 Ph: (763) 398-0099 |
Cynthia J Martinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 |
Jeffrey Alan Leech Ii, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 |
Neil H Stock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 |
Kristina K Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 |
Scott M Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 |
Jon Fish, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-6789 |
Michael S Kennedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 |