NPI | 1609883958 |
---|---|
Other Name | VERDELL ALLEN BJERKETVEDT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 077826-4) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MN R 077826-4) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |