Individual
RUSSELL MATTHEW WOLBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5651
Mailing address
8684 ROYAL MELBOURNE CIR, PEYTON, CO 80831-4045
(702) 983-4747
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN322992
OH
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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