Individual
JOHN A. WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9000
Mailing address
1613 HARRISON PKWY STE 200, SUNRISE, FL 33323-2853
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2267170
MA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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