Dr NATHAN J DAVIS is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2010.
GRAND ITASCA CLINIC AND HOSPITAL
1601 GOLF COURSE RD
GRAND RAPIDS
MN
557448648
Tel: 2183263401
| Npi | 1972828788 |
| Pac Id | 8729119672 |
| Professional Enrollment Id | I20100622000234 |
| Last Name | DAVIS |
| First Name | NATHAN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | GRAND ITASCA CLINIC AND HOSPITAL |
| Group Practice Pac Id | 8123939550 |
| Number Of Group Practice Members | 74 |
| Line 1 Street Address | 1601 GOLF COURSE RD |
| Line 2 Street Address | |
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| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 557448648 |
| Phone Number | 2183263401 |
| Hospital Affiliation Ccn 1 | 240064 |
| Hospital Affiliation Lbn 1 | GRAND ITASCA CLINIC AND HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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