Individual
ROSS JON WOHLHUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 883-5463
Mailing address
22417 WAGON WHEEL TRL, LAKEVILLE, MN 55044-7521
(612) 270-1946
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1720729
MN
Other
Enumeration date
04/13/2010
Last updated
03/06/2018
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