Individual
MICHAEL R WENSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
2855 OLD HIGHWAY 5, BLUE RIDGE, GA 30513-6248
(706) 632-3711
(706) 946-4430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN181342
GA
Other
Enumeration date
08/05/2010
Last updated
09/23/2015
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