Individual
RAYMOND J MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 ICE LAKE RD., IRON RIVER, MI 49935
(906) 265-0430
Mailing address
521 BATES-AMASA RD., IRON RIVER, MI 49935
(906) 265-7172
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704170395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205873510
—
MI
01
—
430C610010
BCBS OF MI
—
01
—
43352500
EDS
—
Enumeration date
06/02/2006
Last updated
01/19/2009
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