Individual
BRANDON W. AHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 304-2004
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010483
IL
Other
Enumeration date
06/14/2013
Last updated
03/28/2024
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