Individual
MARCUS JAY WILSEY
Active
Individual
MARCUS JAY WILSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100143
MT
367500000X
Certified Registered Nurse Anesthetist
60417368
WA
367500000X
Certified Registered Nurse Anesthetist
AP60404040
WA
Other
Enumeration date
09/28/2013
Last updated
11/27/2023
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