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Contact Information

CENTRAL WISCONSIN ANESTHESI
225 MEMORIAL DR
BERLIN, WI54923-1243
 Phone: 920-361-5538
 Fax: 920-361-5499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CENTRAL WISCONSIN ANESTHESI · (Female)

NPI Number 1013006816
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2006
Last updated 11/05/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 43419700
  • WI Other 000021415 MEDICARE
  • WI Other 000026095 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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