Individual
MR. MERRIT CORWIN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6436
Mailing address
2880 GRANDVIEW AVE, PAWHUSKA, OK 74056-2016
(918) 519-3387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0331
SD
Other
Enumeration date
08/11/2006
Last updated
12/04/2015
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