Individual
MICHAEL GREMMELSBACHER
Active
Individual
MICHAEL GREMMELSBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
068365
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068365
MEDICAL LICENSE
MO
Enumeration date
05/07/2007
Last updated
07/08/2007
Update your record
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