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Individual

MICHAEL T PLATNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8768
(419) 522-4697
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2495

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34446
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000239546
ANTHEM
OH
05
2204564
OH
01
430066759
RAILROAD MEDICARE
OH
Enumeration date
09/13/2006
Last updated
09/13/2016
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