DENNIS C MACIESKI

IDAHO FALLS, ID
NPI1225065196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  N-18888)
Enumeration Date2006-06-27
Last Update Date2007-07-12
Business Address
-- DENNIS C MACIESKI CRNA
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-552-2700
Mailing Address
-- DENNIS C MACIESKI CRNA
PO BOX 3206
IDAHO FALLS, ID 83403-3206
Phone number: 208-523-4609
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