MATTHEW MINNICK

SPOKANE, WA
NPI1902857337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60025710)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  071445)
Enumeration Date2006-05-12
Last Update Date2014-11-24
Business Address
-- MATTHEW MINNICK CRNA
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-2072
Mailing Address
-- MATTHEW MINNICK CRNA
PO BOX 94645
SEATTLE, WA 98124-6945
Phone number: 509-474-2072