Individual
MR. CLINTON JOHN PRASNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2649
MN
367500000X
Certified Registered Nurse Anesthetist
AP136239
TX
Other
Enumeration date
01/23/2018
Last updated
12/23/2021
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