Individual
MR. M. REUBEN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 VETERANS DR, ANESTHESIA DEPARTMENT 112A, MINNEAPOLIS, MN 55417-2309
(612) 467-4698
(612) 727-5961
Mailing address
5425 13TH AVE S, MINNEAPOLIS, MN 55417-2511
(612) 825-2986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R093267-3
MN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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