Individual
MICHAEL JOHN WAVERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 359-4924
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ01011800
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
AC005493
MD
Other
Enumeration date
08/12/2019
Last updated
07/11/2023
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