BYRON RUSSELL SHANNON

RICHLAND CENTER, WI
NPI1437241247
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  46278-030)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Mr. BYRON RUSSELL SHANNON CRNA
333 E 2ND ST
RICHLAND CENTER, WI 53581-1914
Phone number: 608-647-6321
Mailing Address
Mr. BYRON RUSSELL SHANNON CRNA
201 N STEWART ST
RICHLAND CENTER, WI 53581-1323
Phone number: 608-647-6522
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