Individual
MICHAEL WATZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
Mailing address
6318 FONTAINEBLEAU DR, NEW ORLEANS, LA 70125-4239
(985) 788-1073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
213657
LA
Other
Enumeration date
03/20/2020
Last updated
12/15/2020
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