Individual
MR. WALTER EDWARD GELDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1545 FAWN DR, SEYMOUR, TN 37865
(865) 579-6302
Mailing address
1545 FAWN DR, SEYMOUR, TN 37865
(865) 579-6302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61293
TN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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