Individual
MS. CONNIE ANN DUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5711
Mailing address
409 NEPUTE ST, MARYVILLE, IL 62062-6653
(314) 401-5789
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209015638
IL
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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