MICHAEL COLIN FUNK

EFFINGHAM, IL
NPI1548222334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209001995)
Enumeration Date2006-04-05
Last Update Date2007-07-08
Business Address
-- MICHAEL COLIN FUNK CRNA
503 N MAPLE ST
EFFINGHAM, IL 62401-2006
Phone number: 217-342-2121
Mailing Address
-- MICHAEL COLIN FUNK CRNA
PO BOX 740209 DEPT 1073
ATLANTA, GA 30374-0209
Phone number: 941-360-1566
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