Individual
MICHAEL RAYMOND FANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2011003376
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2011
Last updated
09/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us