Individual
MR. JESUS GERARDO BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-3980
(763) 581-3591
Mailing address
5751 LONG BRAKE CIR S, EDINA, MN 55439-2619
(952) 446-9222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1561564
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1717
MN
Other
Enumeration date
08/26/2008
Last updated
04/11/2024
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