Individual
MR. TODD ALAN WISURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
Mailing address
PO BOX 3042, ASHTABULA, OH 44005-3042
(727) 324-8844
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP9277359
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN223350
OH
Other
Enumeration date
10/27/2005
Last updated
04/19/2021
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