Individual
ROBERT SPLICHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2400 ST FRANCIS DR, BRECKENRIDGE, MN 56520-1025
(218) 643-3000
Mailing address
PO BOX 1296, WARSAW, IN 46581-1296
(574) 268-9640
(574) 268-0684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 104547 5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12147
—
ND
05
—
199842100
—
MN
01
—
39G36SP
BLUE CROSS BLUE SHIELD BLUE PLUS OF MINNESOTA
MN
01
—
430051817
PALMETTO GPA - RAIL ROAD MEDICARE
MN
01
—
430051817
PALMETTO GPA - MEDICARE RAIL ROAD
ND
01
—
SPL3937
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA
ND
Enumeration date
08/23/2006
Last updated
11/16/2010
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