Organization
MANKATO ANESTHESIA ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J EGLI MD (PRESIDENT)
(507) 387-8980
Entity
Organization
Contact information
Practice address
1400 E MADISON AVE, STE 311, MANKATO, MN 56001-5473
(507) 387-8980
(507) 387-8985
Mailing address
PO BOX 4278, MANKATO, MN 56002-4278
(507) 387-8980
(507) 387-8985
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115401
UCARE
—
05
—
209708700
—
MN
01
—
2972
HEALTH PARTNERS
—
01
—
41392MA
BLUE SHIELD OF MN
—
Enumeration date
07/10/2006
Last updated
04/11/2017
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