Individual
MR. RUSSELL JAMES CWODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 698-3309
Mailing address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 698-3309
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13039
APN
TN
01
—
145678
RN
TN
Enumeration date
01/11/2008
Last updated
06/10/2014
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