Brian R Wilson CRNA

NPI 1053381376 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1053381376
Gender Male
Enumeration Date 01/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 1ST ST SW
ROCHESTER MN, 55905-0001, US
Phone (507) 284-2511
Fax
Business Location
200 1ST ST SW
ROCHESTER MN, 55905-0001, US
Phone (507) 284-2511
Fax
Toxanomy
Taxonomy Code 367500000X
License State Minnesota
License Number R067408-3
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According to our database, Brian R Wilson CRNA NPI is 1053381376, taxonomy code is 367500000X and license number is R067408-3, license state is located at Minnesota. Brian R Wilson CRNA physically located at 200 1st St Sw, Rochester MN, 55905-0001. NPI Number Brian R Wilson CRNA has the Individual type.

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1053381376 NPI number is provided on an as is basis without warranty of any kind. 1053381376 is maintained by the National Plan & Provider Enumeration System. The contents of Brian R Wilson CRNA are for informational purposes only.