Individual
MICHAEL MAROON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9052
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505419
—
TN
01
—
4182806
BLUECROSS BLUE SHIELD
TN
Enumeration date
10/21/2005
Last updated
06/30/2010
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