JACOB T PFLUM

APPLETON, WI
NPI1588139448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  189961-30)
Enumeration Date2018-10-08
Last Update Date2018-10-08
Business Address
JACOB T PFLUM CRNA
1818 N MEADE ST
APPLETON, WI 54911-3454
Phone number: 920-731-4101
Mailing Address
JACOB T PFLUM CRNA
3305 N BALLARD RD STE A
APPLETON, WI 54911-9001
Phone number: 920-202-3363