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Individual

MR. JOHN SORDYL IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8536
Mailing address
807 FERRIS CT APT 3, KALAMAZOO, MI 49007-3272

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704285138
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0000009
OH

Other

Enumeration date
02/15/2017
Last updated
12/16/2021
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