Individual
JACOB PETER HRUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R39696
ND
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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