Individual
MR. RONALD R QUANSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
205 MILL ST, NEODESHA, KS 66757-1817
(620) 325-2611
(620) 325-2907
Mailing address
14430 600 RD, NEODESHA, KS 66757-1893
(620) 325-3992
(620) 325-2907
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54446
KS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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