Individual
MR. JAMES DOUAEDF RUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 N PLEASANT, CENTRALIA, IL 62801
(618) 436-5461
Mailing address
PO BOX 189, CENTRALIA, IL 62801
(618) 533-5209
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
29217
IL
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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