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WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
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WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
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Last modified
10/18/2024 9:46:50 AM
Creation date
8/18/2022 9:45:41 AM
Metadata
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Contracts
Company Name
WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
Contract #
A-2022-152
Agency
Human Resources
Council Approval Date
8/2/2022
Expiration Date
6/30/2025
Insurance Exp Date
5/29/2025
Notes
For Insurance Exp. Date see Notice of Compliance
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ExHIB[T A <br />RATES/CHARGES <br />Physicals: <br />Basic Employer Physical (includes UA dip, distance vision, basic color vision) $35.00 <br />Annual Employer Physical (includes UA dip, distance vision, basic color vision) $35.00 <br />Pre -Employment Physical (includes UA dip, distance vision, basic color vision) $35.00 <br />Fit For Duty/Return to Work (MUST have copy ol'job description) $40,00 <br />Commercial Driver Exams $55.00 <br />Respiratory Fit Testing: <br />Respiratory Evaluation (includes: Mask Fit Test, OSHA questionnaire review, PFT) $90.00 <br />PFT $40.00 <br />OSHA Questionnaire Review $25.00 <br />Mask Fit Test $25.00 <br />DM Screens: <br />Breath Alcohol Test <br />$30.00 <br />5 Panel Rapid <br />$15.00 <br />10 panel Rapid <br />$20.00 <br />9 Panel Non -Dot 111793N <br />$25.00 <br />10 Panel Non -Dot #6633N <br />$30.00 <br />DOT Drug Screen <br />$25.00 <br />MRO Interpretation of Positive Drug Screen <br />$25.00 <br />Drug Screen Collection Only (Not on Sunrise's lab account) <br />$15.00 <br />
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