Individual
MICHAEL DALE CREASMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5644
Mailing address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5644
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
32576
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01617
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995720
—
LA
01
—
430018737
RAILROAD MEDICARE PIN
LA
Enumeration date
12/29/2005
Last updated
05/05/2022
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