Individual
MICHAEL R CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1559 SPARTA RD, RIVER PARK HOSPITAL, MCMINNVILLE, TN 37110
(423) 855-0700
Mailing address
5751 UPTAIN RD STE 100, CHATTANOOGA, TN 37411-5671
(423) 855-0700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN8915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185251
BLUE CROSS BLUE SHIELD
TN
05
—
3600767
—
TN
01
—
430039253
RR MEDICARE
TN
Enumeration date
10/24/2006
Last updated
12/12/2023
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