MR. Jacob R Ricks, CRNA

NPI #1083942015 in Lake City, Minnesota

Provider Information

NPI Number
1083942015
Entity Type
Individual
Name
MR. Jacob R Ricks, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Dec 2, 2009
Last Updated
Mar 5, 2021

Practice Location

Address
500 W GRANT ST
ZIP Code
55041-1143
Phone
(651) 345-3321

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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