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Individual

MR. KEVEN L DEETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2114 STATE ROUTE 113 E, MILAN, OH 44846-9483
(419) 499-4500
(419) 499-1219
Mailing address
2114 STATE ROUTE 113 E, MILAN, OH 44846-9483
(419) 499-4500
(419) 499-1219

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11030
OH

Other

Enumeration date
12/08/2009
Last updated
05/24/2010
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