Individual
JOHN P FODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, STE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
28340 128TH ST, ZIMMERMAN, MN 55398-9438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 093223-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23R0FO
BCBSMN
MN
05
—
796742000
—
MN
Enumeration date
08/17/2005
Last updated
05/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us