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Individual

DUSTYN W. AUCKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
205 E PALMER RD, BELLEFONTAINE, OH 43311
(937) 592-4015
(937) 292-7148
Mailing address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 592-4015
(937) 292-7148

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.11865
OH
367500000X
Certified Registered Nurse Anesthetist
RN301597
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3123453
OH
Enumeration date
09/02/2010
Last updated
06/06/2018
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