Individual
PAUL F. KRUPA-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000285
OH
367H00000X
Anesthesiologist Assistant
AA102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
09/28/2011
Last updated
04/10/2024
Update your record
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