Individual
MICHAEL JAY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
554
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R27762
ND
Other
Enumeration date
07/18/2006
Last updated
04/27/2026
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