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Individual
ROBERT G. KORESSEL
Active
Individual
ROBERT G. KORESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1521992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009958570
—
AL
05
—
303902100
—
FL
01
—
430068703
RAILROAD MEDICARE
FL
01
—
59048146
BLUECROSS & BLUESHIELD
AL
01
—
G0474
BLUECROSS & BLUESHIELD
FL
Enumeration date
08/15/2005
Last updated
11/17/2011
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