Individual
TERRY J ROZINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, STE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
12420 48TH AVE N, PLYMOUTH, MN 55442-2008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 084770-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3T894RO
BCBSMN
MN
05
—
910743600
—
MN
Enumeration date
08/12/2005
Last updated
05/15/2008
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