Individual
MR. DENNIS WARDELL MELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-3000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R-144780-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004964600
—
MN
Enumeration date
02/17/2006
Last updated
05/15/2008
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