Organization
MED ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL WHITTINGTON CRNA (PARTNER)
(703) 447-5400
Entity
Organization
Contact information
Practice address
107B MICA AVE, MORGANTON, NC 28655-8135
(828) 580-1172
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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