Individual
DAVID PAUL OELLERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
569 GARDNER ST, MANCHESTER, CT 06040-6606
(860) 645-8740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
42953
CT
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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