Individual
MR. ROBERT GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
Mailing address
12902 KNOLLWOOD DR, BAXTER, MN 56425-8373
(915) 422-6375
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
195330-5
MN
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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