Individual
MR. JONATHAN PAUL SKRABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 983-5743
(219) 983-5994
Mailing address
PO BOX 10806, MERRILLVILLE, IN 46411-0806
(219) 983-5743
(219) 983-5994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28172654A
IN
Other
Enumeration date
02/20/2013
Last updated
07/23/2013
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