EDDIE J WICKLINE

ELKHART, IN
NPI1891805503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28137996A)
Enumeration Date2006-08-30
Last Update Date2011-10-12
Business Address
-- EDDIE J WICKLINE CRNA
2310 CALIFORNIA RD STE A
ELKHART, IN 46514-1228
Phone number: 574-264-0791
Mailing Address
-- EDDIE J WICKLINE CRNA
2310 CALIFORNIA RD STE A
ELKHART, IN 46514-1228
Phone number: 574-264-0791
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