Individual
RICHARD L DE FLUITER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
406 E ELM ST, CARSON CITY, MI 48811-9693
(989) 584-3971
Mailing address
406 E ELM ST, PO BOX 879, CARSON CITY, MI 48811-9693
(989) 584-3971
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704171685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4520902
—
MI
Enumeration date
06/21/2006
Last updated
07/08/2007
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