Organization
JERRY ZWAK ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY J ZWAK CRNA (OWNER)
(605) 381-3892
Entity
Organization
Contact information
Practice address
717 S STATE ST STE 100, FAIRMONT, MN 56031-4470
(507) 235-3939
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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