Individual
MICHAEL MARK REARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0296
(540) 636-0258
Mailing address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1287
(540) 459-1293
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024137990
VA
Other
Enumeration date
05/23/2006
Last updated
01/04/2011
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