Individual
EMMANUEL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(614) 595-5576
Mailing address
1610 AUTUMN OAK LN, FAIRBORN, OH 45324-6445
(614) 595-5576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.367106
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020580
OH
Other
Enumeration date
07/06/2022
Last updated
07/19/2022
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