Individual
PATRICK WEDOLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 W CHESTER AVE APT 2A, MIDDLESBORO, KY 40965-2809
(331) 642-3566
Mailing address
111 W CHESTER AVE APT 2A, MIDDLESBORO, KY 40965-2809
(331) 642-3566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
291742
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000031068
TN
Other
Enumeration date
10/01/2020
Last updated
02/14/2022
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