Individual
JASON DERRICK TAUZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
UNITED HOSPITAL, ST PAUL, MN 55102
(651) 241-8146
Mailing address
738 CROSBY DR, HUDSON, WI 54016-7869
(715) 377-9863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1286865
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R-128686-5
MN
Other
Enumeration date
05/05/2006
Last updated
03/09/2020
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