Individual
JEFFREY A STEUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4644
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4644
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R38152
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R38152
STATE LICENSE
MN
Enumeration date
07/21/2006
Last updated
07/08/2007
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