Individual
DR. THEODORE MARK DANGER
Active
Individual
DR. THEODORE MARK DANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2482206
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2488
MN
Other
Enumeration date
05/30/2020
Last updated
06/29/2020
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