Organization
ANESTHESIA CARE TEAM, P.A.
Active
Organization
ANESTHESIA CARE TEAM, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD J GYTRI CRNA (CEO)
(218) 732-9464
Entity
Organization
Contact information
Practice address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 732-9464
(218) 732-0249
Mailing address
PO BOX 432, PARK RAPIDS, MN 56470-0432
(218) 732-9464
(218) 732-0249
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2691288
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62024AC
BLUE CROSS
MN
01
—
8627
HEALTH PARTNERS
MN
01
—
C01522
RAILROAD MEDICARE
MN
Enumeration date
06/22/2005
Last updated
08/22/2020
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