BRIEN M MACON

MADISON, WI
NPI1396460481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  98754)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1096163)
Enumeration Date2022-10-11
Last Update Date2025-04-09
Business Address
BRIEN M MACON CRNA
600 HIGHLAND AVE
MADISON, WI 53792-1908
Phone number: 608-263-8100
Mailing Address
BRIEN M MACON CRNA
6225 N STATE HIGHWAY 161 STE 200
IRVING, TX 75038-2241
Phone number: 214-687-0001