GARY WILFRED BODIE

MINNETONKA, MN
NPI1184732927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R0677190)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
-- GARY WILFRED BODIE CRNA
13911 RIDGEDALE DR SUITE 350
MINNETONKA, MN 55305-1771
Phone number: 952-932-9012
Mailing Address
-- GARY WILFRED BODIE CRNA
13595 STATE HIGHWAY 18
BRAINERD, MN 56401-4678
Phone number: