Individual
MICHAEL R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
14914 67TH ST NE, GRAFTON, ND 58237-9206
(701) 352-3604
(701) 352-3604
Mailing address
14914 67TH ST NE, GRAFTON, ND 58237-9206
(701) 352-3604
(701) 352-3604
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R121975-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R19657
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169230
UCARE #
MN
01
—
19063
NDBS #
MN
01
—
2000780
MEDICA #
MN
01
—
86D19MY
MNBS #
MN
01
—
937254
AMERICA'S PPO/ARAZ #
MN
05
—
952526200
—
MN
01
—
DAP021026986
PREFERRED ONE #
MN
01
—
HP38638
HEALTHPARTNERS #
MN
01
—
ND200189
LHS/BANNERHEALTH #
ND
Enumeration date
06/23/2006
Last updated
02/01/2012
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