Individual
JASON W BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 172820-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00737837
RAILROAD MEDICARE
—
Enumeration date
02/25/2009
Last updated
09/17/2009
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