Individual
COLLIN DEROSIER JANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(406) 657-4145
(406) 657-3994
Mailing address
PO BOX 80125, BILLINGS, MT 59108-0125
(614) 535-5015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NUR-APRN-LIC-242545
MT
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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