Individual
MICHAEL SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
2052 WILLIAMS GLEN BLVD, ZIONSVILLE, IN 46077-1178
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28232440A
IN
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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