| NPI | 1417378464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN H SCHUT Owner 262-338-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 6939930) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |