Individual
MARA PATRICIA PRUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
400 E 3RD ST, DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-4150
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1652813
MN
Other
Enumeration date
08/21/2009
Last updated
03/11/2021
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