Individual
MR. CHAD MICHAEL RISTAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 CRESCENT PARK WEST., WARREN GENERAL HOSPITAL, WARREN, PA 16365
(814) 723-3300
Mailing address
1746 KUNTZ RD, ERIE, PA 16509-2642
(814) 866-2684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN528488L
PA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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