Individual
WALTER VLADO SPASEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8701 BROADWAY # C-124, MERRILLVILLE, IN 46410-7035
(219) 738-4929
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28118984A
IN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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