Individual
MR. CHARLES RICHARD BOYLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 332-4864
Mailing address
1311 GREENLEAF RD, FARIBAULT, MN 55021-2223
(507) 334-9485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 139390-7
MN
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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