Individual
PERRY J COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 8TH AVE SE, OELWEIN, IA 50662-2447
(319) 283-6000
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105345
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426569
—
IA
01
—
05451
IA BCCEDP
—
01
—
186421
COVENTRY/HC/HC PREFERRED
—
01
—
35852
BLUE CROSS OF IA
IA
Enumeration date
07/28/2005
Last updated
04/29/2008
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