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NPI Code Detail

MEDICARE: WOODWARD ANESTHESIA SERVICES PC

MEDICARE: WOODWARD ANESTHESIA SERVICES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist0644084IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174505754
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODWARD ANESTHESIA SERVICES PC
Provider Business Mailing Address
First Line : 400 E 10TH ST
Second Line :
City : WACONIA
State : MN
Zip : 55387-4552
Country : US
Telephone Number : 952-442-9770
Fax Number : 952-442-3620
Provider Business Practice Location Address
First Line : 826 N 8TH ST
Second Line :
City : ESTHERVILLE
State : IA
Zip : 51334-1528
Country : US
Telephone Number : 712-362-2631
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTOPHER WOODWARD
Credential : CRNA
Telephone Number : 712-362-2631
Provider Enumeration Date : 11/18/2005
Last Update Date : 04/29/2008

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1952357063 — NORTHWEST IOWA PODIATRY
Practice Location Address:
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ESTHERVILLE, IA
51334-1528
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1891738365 — AVERA HOLY FAMILY
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ESTHERVILLE, IA
51334-1528
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Practice Location Address:
826 N 8TH ST
ESTHERVILLE, IA
51334-1528
Practice Phone: 712-362-2631
Practice Fax: 712-362-2636

Directions to “WOODWARD ANESTHESIA SERVICES PC ” Practice Location

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