| Mr Tyler Michael Gregg, APRN, CRNA | |
| 
					407 E 3rd St, Duluth, MN 55805-1950  | |
| (218) 786-4000 | |
| Not Available | 
| Full Name | Mr Tyler Michael Gregg | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 407 E 3rd St, Duluth, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093429110 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2285962 (Minnesota) | Primary | 
| Entity Name | The Duluth Clinic Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229  | 
| Entity Name | Community Memorial Hospital Association | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Tyler Michael Gregg, APRN, CRNA 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364  | Mr Tyler Michael Gregg, APRN, CRNA 407 E 3rd St, Duluth, MN 55805-1950 Ph: (218) 786-4000  | 
Christian Conner, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-4150  | |
Scott Ian Halvorson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555  | |
Jennifer M Heitzman, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364  | |
Emily Kathryn Eash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534  | |
Julie Kay Hendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364  | |
Jesse Stokke, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534  | |
Luke Andrew Schumacher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534  |