Charles M Walbaum, CRNA
NPI #1023171741 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1023171741
- Entity Type
- Individual
- Name
- Charles M Walbaum, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Feb 27, 2009
Practice Location
- Address
- 611 W MAIN ST
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-1111
- Phone
- (573) 783-3341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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