Individual
MICHAEL A WATZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 686-5093
Mailing address
6917 SHAMROCK AVE, CINCINNATI, OH 45231-5533
(513) 833-1506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-255274
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
86775
OH
Other
Enumeration date
12/08/2011
Last updated
01/16/2014
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