Charles Fuller, CRNA
NPI #1063518934 in Litchfield, Minnesota
Provider Information
- NPI Number
- 1063518934
- Entity Type
- Individual
- Name
- Charles Fuller, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Apr 29, 2008
Practice Location
- Address
- 612 S SIBLEY AVE
- City
- Litchfield
- State
- Minnesota
- ZIP Code
- 55355-3340
- Phone
- (320) 693-3242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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