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1396843959
THEODORE M SPIESS
MAPLEWOOD, MN
NPI
1396843959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R1068216)
Enumeration Date
2006-09-20
Last Update Date
2010-10-06
Business Address
-- THEODORE M SPIESS CRNA
1575 BEAM AVE
MAPLEWOOD, MN 55109-1126
Phone number: 651-735-0501
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Mailing Address
-- THEODORE M SPIESS CRNA
8681 EAGLE POINT BLVD
LAKE ELMO, MN 55042-8628
Phone number: 651-251-8021
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