Individual
THEODORE A SEARLE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895
(585) 593-1100
Mailing address
3891 HUNTERS RD, ANDOVER, NY 14806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
283109
NY
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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