Individual
MR. JOHN DAVID WAEGERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA-P
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4000
Mailing address
4057 CORY LN, CHESAPEAKE, VA 23321-3240
(757) 465-9036
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164168
VA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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