Individual
MR. MICHAEL JOHN FOLKERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1048 PONCA DR, BATAVIA, IL 60510-1146
(419) 699-0166
Mailing address
1048 PONCA DR, BATAVIA, IL 60510-1146
(419) 699-0166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.389588
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010606
IL
Other
Enumeration date
09/18/2013
Last updated
03/17/2018
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