Individual
MARCUS C GROFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
982 E COLUMBIA AVE, COLVILLE, WA 99114-3316
(509) 685-2461
(509) 685-2492
Mailing address
982 E COLUMBIA AVE, COLVILLE, WA 99114-3316
(509) 685-2461
(509) 685-2492
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30002418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9638982
—
WA
01
—
C46597
MEDICARE-RAILROAD
WA
Enumeration date
10/09/2007
Last updated
10/09/2007
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