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MR. CRAIG ROBERT FOOSANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
312 DEVONPORT RD, MATTHEWS, NC 28104-7876
(704) 839-1372
Mailing address
312 DEVONPORT RD, MATTHEWS, NC 28104-7876
(704) 839-1372

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
097277
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8051792
NC
Enumeration date
04/18/2006
Last updated
10/09/2007
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