| Mr Stuart Gall, MS, CRNA | |
|
135 S Gibson St, Medford, WI 54451-1622 | |
| (715) 748-8100 | |
| (715) 748-8847 |
| Full Name | Mr Stuart Gall |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 135 S Gibson St, Medford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437184827 | NPI | - | NPPES |
| 44311500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Wisconsin) | Primary |
| Entity Name | Boundary Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801896683 PECOS PAC ID: 3274583406 Enrollment ID: O20050126000312 |
| Entity Name | Stuart Gall Crna Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932527389 PECOS PAC ID: 1759506504 Enrollment ID: O20140710001861 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stuart Gall, MS, CRNA W5707 Jolly Ave, Medford, WI 54451-9302 Ph: () - | Mr Stuart Gall, MS, CRNA 135 S Gibson St, Medford, WI 54451-1622 Ph: (715) 748-8100 |
Angela Marie Guden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 220 S 7th St, Medford, WI 54451 Phone: 715-432-8888 | |
Carl Henry Zondlo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 135 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 | |
Scott Lee Gradberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 135 South Gibson St, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-8199 |