| NPI | 1578814422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M GRUBE Owner 715-652-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 35223) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-11 |