MICHAEL B. COUILLARD

CHARLOTTE, NC
NPI1386692499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  040726)
Enumeration Date2006-05-04
Last Update Date2007-07-08
Business Address
-- MICHAEL B. COUILLARD CRNA
200 HAWTHORNE LANE
CHARLOTTE, NC 28204
Phone number: 704-384-4239
Mailing Address
-- MICHAEL B. COUILLARD CRNA
PO BOX 65849
CHARLOTTE, NC 28265
Phone number: