| NPI | 1134585508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NIGL Practice Manager 920-223-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |