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Individual

JOHN SCHOLTENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 649-7070
Mailing address
1575 8TH ST, SLIDELL, LA 70458-2805

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07890
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09837053
MS
05
2370723
LA
Enumeration date
07/21/2014
Last updated
12/04/2014
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