| NPI | 1205103306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW B BAKER President 262-787-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 40364) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 20840) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |