Individual
JOSHUA WHITE SCHARBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
18171 EVENER WAY, EDEN PRAIRIE, MN 55346-4273
(917) 572-2621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1985
MN
390200000X
Student in an Organized Health Care Education/Training Program
R2124285
MN
Other
Enumeration date
08/04/2016
Last updated
01/12/2021
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