Organization
CRNA OF BLANCHARD VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE CYTLAK (CFO)
(419) 423-5497
Entity
Organization
Contact information
Practice address
1900 SOUTH MAIN STREET, FINDLAY, OH 45840-1214
(419) 423-4500
(419) 423-5550
Mailing address
1900 S MAIN ST, FINDLAY, OH 45840-1214
(419) 423-4500
(419) 423-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604453
—
OH
Enumeration date
05/30/2006
Last updated
09/04/2014
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