| Richard L De Fluiter, CRNA | |
|
406 E Elm St, Carson City, MI 48811-9693 | |
| (989) 584-3971 | |
| Not Available |
| Full Name | Richard L De Fluiter |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 406 E Elm St, Carson City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518903442 | NPI | - | NPPES |
| 4520902 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704171685 (Michigan) | Primary |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770668683 PECOS PAC ID: 2264323633 Enrollment ID: O20040324001146 |
| Entity Name | Mymichigan Medical Center Clare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417084278 PECOS PAC ID: 7012829773 Enrollment ID: O20040424000282 |
| Entity Name | Mymichigan Medical Center Gladwin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L De Fluiter, CRNA 406 E Elm St, Po Box 879, Carson City, MI 48811-9693 Ph: (989) 584-3971 | Richard L De Fluiter, CRNA 406 E Elm St, Carson City, MI 48811-9693 Ph: (989) 584-3971 |
James H Gilkins Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 E Elm St, Carson City, MI 48811 Phone: 989-584-3971 | |
Sarah A Bergakker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 E Elm St, Carson City, MI 48811 Phone: 989-584-3971 |