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Individual

MICHAEL SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, CRNA

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(509) 474-3131

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N43868
ID
163W00000X
Registered Nurse
RN199298
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60695727
WA
367500000X
Certified Registered Nurse Anesthetist
CRNA1237
AZ

Other

Enumeration date
09/08/2016
Last updated
09/13/2016
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