Individual
MICHAEL G OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 765-8585
(208) 765-8486
Mailing address
2204 IRONWOOD PL STE B, COEUR D ALENE, ID 83814-2662
(208) 765-8585
(208) 765-8486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA595
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806992800
—
ID
01
—
H102102
HMSA
HI
Enumeration date
04/13/2006
Last updated
03/27/2018
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