Individual
VERNON MICHAEL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
28650 EAGLE POINT RD, MILLEDGEVILLE, IL 61051-9214
(815) 225-5541
Mailing address
28650 EAGLE POINT RD, MILLEDGEVILLE, IL 61051-9214
(815) 225-5541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
65047
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44343500
—
WI
Enumeration date
06/14/2006
Last updated
10/22/2007
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