| Mr Burton P Fosse Jr, CRNA | |
| 
					600 Pleasant Ave S, Park Rapids, MN 56470-1431  | |
| (218) 732-9464 | |
| (218) 732-0249 | 
| Full Name | Mr Burton P Fosse Jr | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 600 Pleasant Ave S, Park Rapids, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285630525 | NPI | - | NPPES | 
| 55G94FO | Other | MN | BLUE CROSS PROVIDER # | 
| P00016147 | Other | MN | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0636746 (Minnesota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Burton P Fosse Jr, CRNA Po Box 432, Park Rapids, MN 56470-0432 Ph: (218) 732-9464  | Mr Burton P Fosse Jr, CRNA 600 Pleasant Ave S, Park Rapids, MN 56470-1431 Ph: (218) 732-9464  | 
Ryan G Strasburg, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 506 Henrietta Ave N, Park Rapids, MN 56470 Phone: 218-732-9464 Fax: 218-732-0249  | |
Mr. Anthony J Yerkes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-9464 Fax: 218-732-0249  | |
Mr. Karl J Carlson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-9464 Fax: 218-732-0249  | |
Mr. Donald J Gytri, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-9464 Fax: 218-732-0249  |