Individual
WILLIAM GRANT CARRUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, NORTH/FAMILY ROOMS, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
(317) 355-2205
Mailing address
PO BOX 19751, INDIANAPOLIS, IN 46219-0751
(317) 355-5837
(317) 904-3929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041346090
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28182196A
IN
Other
Enumeration date
05/17/2006
Last updated
09/02/2011
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