DOUGLAS MICHAELSON

DEKALB, IL
NPI1700208105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209011144)
Enumeration Date2014-01-20
Last Update Date2020-10-27
Business Address
DOUGLAS MICHAELSON CRNA
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 630-936-4029
Mailing Address
DOUGLAS MICHAELSON CRNA
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 630-936-4029
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