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Individual

JAMES WOELK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
112 W SPENCER AVE STE B, GUNNISON, CO 81230-2546
(303) 422-9438
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
55574
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
64320
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07643208
CO
01
145469
BCBS OF KANSAS
KS
05
200426610A
KS
01
GU06356
CO BCBS INDIVIDUAL
CO
01
M35816
CO WORK COMP
CO
Enumeration date
10/06/2005
Last updated
05/06/2022
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