Individual
CURTIS W PASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0757735
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155995C737
UCARE
—
01
—
38A55PA
BLUE CROSS
MN
05
—
43301000
—
WI
05
—
658742900
—
MN
01
—
965621012726
PREFERREDONE
—
Enumeration date
01/26/2006
Last updated
10/30/2012
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