Individual
MICHAEL STEVEN LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
2712 WISCONSIN AVE NW APT 407, WASHINGTON, DC 20007-4635
(248) 722-0634
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN1037964
DC
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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