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Organization

R J SPLICHAL CRNA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT J SPLICHAL CRNA (SOLE MBR)
(574) 268-9640
Entity
Organization

Contact information

Practice address
1507 UNIVERSITY DR S, FARGO, ND 58103-4169
(574) 268-9640
(574) 268-0684
Mailing address
PO BOX 1296, WARSAW, IN 46581-1296
(574) 268-9640
(574) 268-0684

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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