WAYDE RUSSELL BLUMHARDT

WATERLOO, IA
NPI1528011996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  D-074832)
Enumeration Date2006-05-18
Last Update Date2007-12-10
Business Address
-- WAYDE RUSSELL BLUMHARDT CRNA
1825 LOGAN AVE
WATERLOO, IA 50703
Phone number: 319-235-3886
Mailing Address
-- WAYDE RUSSELL BLUMHARDT CRNA
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-235-5390
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