CARL JAY WOLTERS

GRAND RAPIDS, MI
NPI1528171006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704123064)
Enumeration Date2006-08-17
Last Update Date2014-07-03
Business Address
Mr. CARL JAY WOLTERS CRNA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9756
Phone number: 616-364-4200
Mailing Address
Mr. CARL JAY WOLTERS CRNA
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9756
Phone number: 616-364-4200