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Individual

MICHAEL WATSON

Active
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Individual

MICHAEL WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209014292
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
836815
NY

Other

Enumeration date
06/05/2014
Last updated
04/19/2022
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