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Individual

BRIAN GREGORY ROESSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, CNP

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 531-8808
(419) 531-9342
Mailing address
2914 S REPUBLIC BLVD, TOLEDO, OH 43615-1912
(419) 531-8808
(419) 531-9342

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.11611-NP
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14227-NA
OH

Other

Enumeration date
07/20/2010
Last updated
01/17/2013
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