Individual
MICHAEL ROSS DUNSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
Mailing address
2374 MOUND RD, JACKSONVILLE, IL 62650-2242
(217) 370-1894
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209009363
IL
Other
Enumeration date
02/10/2012
Last updated
04/26/2012
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