| NPI | 1336489418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER G HIGGINSON President 920-966-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 3410-33) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |