Individual
NATHAN RICHARD PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5352
(218) 249-5534
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5352
(218) 249-5534
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
174457-2
MN
Other
Enumeration date
01/22/2016
Last updated
12/18/2020
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