Individual
DAVID DONALD IDZIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4599 N HURON RD, PINCONNING, MI 48650-8405
(989) 493-4100
Mailing address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704264109
MI
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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