Individual
COLLEEN A PETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 METROHEALTH DR, MHMC-ANESTHESIOLOGY, CLEVELAND, OH 44109-1900
(216) 778-4801
Mailing address
2500 METROHEALTH DR, MHMC-ANESTHESIOLOGY, CLEVELAND, OH 44109-1900
(216) 778-4801
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA00096
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2619054
—
OH
Enumeration date
12/27/2006
Last updated
07/08/2007
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