Organization
STAGE TWO ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR L MARTIN CRNA (OWNER / AUTHORIZED OFFICIAL)
(952) 442-9770
Entity
Organization
Contact information
Practice address
210 25TH AVE N STE 920, NASHVILLE, TN 37203-9609
(888) 209-0305
(952) 442-3620
Mailing address
400 EAST 10TH ST, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
02/10/2020
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