KRISTOPHER D DETERS

URBANA, IL
NPI1417583501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209021043)
Enumeration Date2020-03-20
Last Update Date2020-03-20
Business Address
KRISTOPHER D DETERS APRN, CRNA
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3303
Mailing Address
KRISTOPHER D DETERS APRN, CRNA
611 W PARK ST FAPC
URBANA, IL 61801
Phone number:
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