Individual
MICHAEL D WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
Mailing address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11001417
FL
367500000X
Certified Registered Nurse Anesthetist
RN-216636
OH
367500000X
Certified Registered Nurse Anesthetist
RN216636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0933780
—
OH
Enumeration date
07/13/2006
Last updated
03/04/2019
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