| Mr Kevin Elmer Zimmer, CRNA | |
|
425 Elm St N, Sauk Centre, MN 56378-1010 | |
| (320) 352-2221 | |
| Not Available |
| Full Name | Mr Kevin Elmer Zimmer |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 425 Elm St N, Sauk Centre, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174586127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 093033-2 (Minnesota) | Primary |
| Entity Name | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
| Entity Name | St Cloud Outpatient Surgery Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Elmer Zimmer, CRNA 10382 Augusta Dr, Sauk Centre, MN 56378-4864 Ph: (320) 351-8422 | Mr Kevin Elmer Zimmer, CRNA 425 Elm St N, Sauk Centre, MN 56378-1010 Ph: (320) 352-2221 |
Sherree Lee Engen, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 39595 County Road 17, Sauk Centre, MN 56378 Phone: 320-351-8513 | |
Carla J Fowler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10382 Augusta Dr, Sauk Centre, MN 56378 Phone: 320-351-8422 | |
Mrs. Leah Jedlicki, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10382 Augusta Dr, Sauk Centre, MN 56378 Phone: 320-351-8422 |