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Individual

MR. DUANE L FUERST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2793 SHAWNEE RD, LIMA, OH 45806-1444
(419) 227-8209
Mailing address
1017 MAXINE LN, SUITE 207, VAN WERT, OH 45891-2649
(419) 238-4139

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN147379
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
33934
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000249722
ANTHEM BC/BS
OH
05
0487638
OH
01
061649572-00
WORKMENS COMPENSATION
OH
01
061649572002
MEDICAL MUTUAL OF OHIO
OH
01
43007320
MEDICARE RAILROAD
ND
Enumeration date
08/30/2005
Last updated
01/22/2020
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