Individual
PAUL EDWARD BREWER
Active
Individual
PAUL EDWARD BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-354753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001001050
—
IN
Enumeration date
01/18/2007
Last updated
04/11/2011
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