Individual
MERANDAH MARIE TOKARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 228-0811
Mailing address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28248588A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28248588A
IN
Other
Enumeration date
07/03/2023
Last updated
07/12/2024
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