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Individual

SEAN K GRESCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA

Contact information

Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3016721
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300072525
IN
05
7100774930
KY
Enumeration date
10/07/2021
Last updated
03/21/2023
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