Individual
JERRY JAY ZWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
21348.0796
WY
367500000X
Certified Registered Nurse Anesthetist
R 140763-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R026839
SD
367500000X
Certified Registered Nurse Anesthetist
R29810
ND
Other
Enumeration date
10/13/2005
Last updated
12/03/2013
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