Dr. Theodore Mark Danger
Dr. Theodore Mark Danger is a Certified Registered Nurse Anesthetist (CRNA) in Plymouth, Minnesota. Qualified in 2020, 6 years ago. Practices with Southdale Anesthesiologists LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 6
- Licensed in
- MN
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
14700 28th Ave N Ste 20Plymouth, MN 55447-4876
Phone: (763) 559-3779
Fax: (763) 450-3986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 2488 (MN) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence 2482206 (MN) |
Record details
| NPI number | 1104440783 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2020 |
| Last updated in NPPES | June 29, 2020 |
| Certification date | June 29, 2020 |
| Mailing address | Po Box 47159, Plymouth, MN 55447-0159 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Southdale Anesthesiologists Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Plymouth
-
Grace Adiyiah, RN, BSN, MA
17430 49th Ave N, Plymouth, MN 55446-1713 · (763) 222-8250
-
Mr. John A Cambest, CRNA
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 · (763) 852-0435
-
Melissa McNeely
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 · (763) 559-3779