MEDICARE: MR. CHRISTOPHER R. BUEHRER C.R.N.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN. 306807	OH
2	367500000X	Certified Registered Nurse Anesthetist	COA.1110	OH

General Provider Information

NPI Number	:	1639404361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER R. BUEHRER C.R.N.A.

Provider Business Mailing Address
First Line	:	3245 ALGONQUIN PKWY
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-2106
Country	:	US
Telephone Number	:	419-475-1363
Fax Number	:

Provider Business Practice Location Address
First Line	:	2914 S REPUBLIC BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-1912
Country	:	US
Telephone Number	:	419-531-8808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2009
Last Update Date	:	10/14/2009

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