Russell Glyn Rader CRNA

NPI 1629023403 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1629023403
Gender Male
Enumeration Date 05/23/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
703 MCEWAN
CLARE MI, 48617, US
Phone (989) 802-8875
Fax (989) 802-8866
Business Location
9975 TIMBER RIDGE RD
FARWELL MI, 48622, US
Phone (989) 802-8875
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704143484
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According to our database, Russell Glyn Rader CRNA NPI is 1629023403, taxonomy code is 367500000X and license number is 4704143484, license state is located at Michigan. Russell Glyn Rader CRNA physically located at 703 Mcewan, Clare MI, 48617. NPI Number Russell Glyn Rader CRNA has the Individual type.

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1629023403 NPI number is provided on an as is basis without warranty of any kind. 1629023403 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Glyn Rader CRNA are for informational purposes only.