Lisa M Wodtke in Warren - Nurse Anesthetist, Certified Registered
Lisa M Wodtke - NPI 1962569152
Lisa M Wodtke is a Nurse Anesthetist, Certified Registered in Warren, Michigan. Lisa M Wodtke practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Lisa M Wodtke is 1962569152. The last update date is 2007-07-08.
Lisa M Wodtke's current location address is 11800 E 12 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5865735260 and fax number 5865735364. The mailing address for Lisa M Wodtke is 11800 E 12 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Wodtke |
|---|---|
| Address | 11800 E 12 Mile Rd, Warren, Michigan |
| Phone Number | 5865735260 |
| Fax Number | 5865735364 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1962569152 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11800 E 12 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480933472 |
| Phone Number | 5865735260 |
| Fax Number | 5865735364 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4704163773 |
|
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 |
|---|---|---|---|
| 3153030 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lisa M Wodtke by the Centers for Medicare & Medicaid Services?
The Lisa M Wodtke has been issued the NPI (National Provider Identifier) 1962569152 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa M Wodtke?
The Lisa M Wodtke is physically situated at 11800 E 12 Mile Rd, in the city of Warren, state of MI, with the postal code 480933472.
What is the area of specialization for Lisa M Wodtke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa M Wodtke is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.
When did Lisa M Wodtke receive its 1962569152 assignment?
The Lisa M Wodtke was assigned its 1962569152 on 2007-01-03, which is the date when this unique identifier was issued to the organization.
When was the Lisa M Wodtke's information last updated?
The Lisa M Wodtke's information was last updated on 2007-07-08.
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