Brian Clark in Kalamazoo - Nurse Anesthetist, Certified Registered
Brian Clark - NPI 1962477794
Brian Clark is a Nurse Anesthetist, Certified Registered in Kalamazoo, Michigan. Brian Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Brian Clark is 1962477794. The last update date is 2007-07-08.
Brian Clark's current location address is 900 Peeler St, Kalamazoo, Michigan. You can contact this provider via phone number 2693458618 and fax number 2693451508. The mailing address for Brian Clark is 900 Peeler St, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Clark |
|---|---|
| Address | 900 Peeler St, Kalamazoo, Michigan |
| Phone Number | 2693458618 |
| Fax Number | 2693451508 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1962477794 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 900 Peeler St |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490082380 |
| Phone Number | 2693458618 |
| Fax Number | 2693451508 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4704219567 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4757897 | MI | -- |
Post Comment/ Review Below
Where is the Brian Clark located?
The Brian Clark is located at 900 Peeler St, Kalamazoo, MI 490082380.
When was the Brian Clark's 1962477794 issued?
The Brian Clark's 1962477794 was issued on 2006-02-23.
On what date did the Centers for Medicare & Medicaid Services issue the 1962477794 to Brian Clark?
The Brian Clark received its 1962477794 assignment from the Centers for Medicare & Medicaid Services on 2006-02-23.
When was the Brian Clark's information last updated?
The Brian Clark's information was last updated on 2007-07-08.
When was the information pertaining to Brian Clark most recently updated or revised?
The details related to Brian Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.