Organization
CENTRAL MINNESOTA ANESTHESIA PROVIDERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE SCHULTZ CRNA (PRESIDENT)
(763) 218-4125
Entity
Organization
Contact information
Practice address
14054 BANK ST, BOX 100, BECKER, MN 55308-0100
(763) 260-8808
(763) 645-5579
Mailing address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-6384
(763) 389-6389
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003496700
—
MN
Enumeration date
09/14/2005
Last updated
11/02/2015
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