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Individual

JOHN MICHAEL BISCIGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 559-3779
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 559-3779

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1873
MN
367500000X
Certified Registered Nurse Anesthetist
87828
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679682579
WA
Enumeration date
08/30/2006
Last updated
01/24/2025
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