Individual
RICHARD KEITH HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 458-5800
Mailing address
104 W 5TH AVE, SUITE 250E, SPOKANE, WA 99204-4880
(509) 838-6709
(509) 835-4058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006716
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641457
—
WA
01
—
G8877206
MEDICARE TPAN
WA
Enumeration date
08/26/2006
Last updated
05/21/2009
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