Individual
MICHAEL JON LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 262-9000
Mailing address
1991 CLOVER RIDGE DR, CHASKA, MN 55318-2954
(763) 229-8423
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
176871-0
MN
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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