MR. Randy Ray Wientjes, C.R.N.A.
NPI #1154352045 in Metropolis, Illinois
Provider Information
- NPI Number
- 1154352045
- Entity Type
- Individual
- Name
- MR. Randy Ray Wientjes, C.R.N.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- C.R.N.A.
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Sep 9, 2015
Practice Location
- Address
- 3042 LAKEVIEW DR
- City
- Metropolis
- State
- Illinois
- ZIP Code
- 62960-3119
- Phone
- (618) 524-9217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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Organizations
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|---|---|
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