Individual
MICHAEL PATRICK HENRY PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2 GOOD SAMARITAN WAY STE 205, MOUNT VERNON, IL 62864-2476
(618) 899-3869
(618) 899-3558
Mailing address
2 GOOD SAMARITAN WAY STE 205, MOUNT VERNON, IL 62864-2476
(618) 899-3869
(618) 899-3558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.473827
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209023463
IL
Other
Enumeration date
06/24/2021
Last updated
07/22/2021
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