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1720713944
BRIAN MICHAEL SHANNON
MADISON, WI
NPI
1720713944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 138657)
Enumeration Date
2022-07-21
Last Update Date
2022-07-28
Business Address
BRIAN MICHAEL SHANNON CRNA
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-251-6100
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Mailing Address
BRIAN MICHAEL SHANNON CRNA
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-251-6100
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