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 |