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FRED NYABICHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2828 CHICAGO AVE STE 300, MINNEAPOLIS, MN 55407-1573
(612) 863-3084
Mailing address
2828 CHICAGO AVE STE 300, MINNEAPOLIS, MN 55407-1573

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
514294
MN

Other

Enumeration date
09/18/2015
Last updated
09/18/2015
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