Individual
MICHAEL DULWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(517) 917-8042
Mailing address
4957 JOE CASTILLO ST, EL PASO, TX 79938-2791
(517) 917-8042
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704292562
MI
Other
Enumeration date
07/18/2022
Last updated
06/26/2024
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