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Thomas K Wallace, CRNA
Certified Registered Nurse Anesthetist in Minneapolis, Minnesota
NPI 1811089006

Thomas K Wallace is a Certified Registered Nurse Anesthetist based in Minneapolis, MN. Thomas K Wallace practices in Minneapolis, MN and has the professional credentials of CRNA. The NPI Number for Thomas K Wallace is 1811089006 and holds a License No. R 132463-3 (Minnesota).

The current practice location address for Thomas K Wallace is 800 E 28Th St, Minneapolis, MN and can be reached out via phone at 612-871-7639 and via fax at 612-872-0302.

Location: 800 E 28Th St, Minneapolis, MN, 55404-4522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811089006
Provider Name
Thomas K Wallace
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
800 E 28Th St, Minneapolis, MN, 55404-4522
Phone Number
612-871-7639
Fax Number
612-872-0302
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
075748 01 MN CRNA CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
800 E 28Th St
City
Minneapolis
State
Minnesota
Zip
55407-3723
Phone Number
612-871-7639
Fax Number
612-872-0302
person
Provider Business Mailing Address Details
Address
800 E 28Th St
City
Minneapolis
State
Minnesota
Zip
55407-3723
Phone Number
612-871-7639
Fax Number
612-872-0302
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
R 132463-3 (Minnesota)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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