Individual
MR. ROBERT ADRIAN CODERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN3128952
FL
367500000X
Certified Registered Nurse Anesthetist
043434
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01130
NM
Other
Enumeration date
10/25/2006
Last updated
12/27/2019
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