MR. Burton P Fosse JR., CRNA

NPI #1285630525 in Park Rapids, Minnesota

Provider Information

NPI Number
1285630525
Entity Type
Individual
Name
MR. Burton P Fosse JR., CRNA
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jun 22, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
600 PLEASANT AVE S
ZIP Code
56470-1431
Phone
(218) 732-9464

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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