| Michael Petru, CRNA | |
|
6810 State Route 162, Suite 215, Maryville, IL 62062-8501 | |
| (618) 288-5711 | |
| Not Available |
| Full Name | Michael Petru |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6810 State Route 162, Maryville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124188354 | NPI | - | NPPES |
| 340628294001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Petru, CRNA 1836 Lackland Hill Pkwy, Attnt Credentialing Depart, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | Michael Petru, CRNA 6810 State Route 162, Suite 215, Maryville, IL 62062-8501 Ph: (618) 288-5711 |
Michael Southwick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Ms. Connie Ann Dumm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 | |
Dr. Jared T Holton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-281-3903 | |
Joseph Hines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Mark Silvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Sherri Blaha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 |