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Individual

CHRISTIAN T CAVALIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2760 BEAR ISLAND RIVER RD, ELY, MN 55731-8310
(218) 820-7119
Mailing address
2760 BEAR ISLAND RIVER RD, ELY, MN 55731-8310
(218) 820-7119

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1464315
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372163900
MN
Enumeration date
08/09/2005
Last updated
12/18/2020
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